Stathis Poulakidas
Surgeon Trauma Surgeon Surgical Critical Care
1901 W Harrison St Room 3229
Chicago
, Illinois 60612-3714
Stathis Poulakidas
Surgeon Trauma Surgeon Surgical Critical Care
1901 W Harrison St Room 3229
Chicago
, Illinois 60612-3714
(312) 864-9545
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Stathis Poulakidas
- 1901 W Harrison St Room 3229
- Chicago, IL
- Zip : 60612-3714
- Fax : (312) 864-9545
- Phone : (312) 864-3166
Second Address
- Stathis Poulakidas
- 1901 W Harrison St Room 3229
- Chicago, IL
- Zip : 60612-3714
- Fax : (312) 864-9545
- Phone : (312) 864-3166
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FAQs
Where did Stathis Poulakidas attend graduate school?
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What type of doctor is Stathis Poulakidas
In what state does Stathis Poulakidas practice in?
Where is Stathis Poulakidas ’s practice located?
What is Stathis Poulakidas ’s gender?
Is Stathis Poulakidas a sole practitioner?
Is Stathis Poulakidas accepting new patients?
What languages does Stathis Poulakidas speak?
Does Stathis Poulakidas accept insurance?
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Does Stathis Poulakidas have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 036-099012 | IL |
| N | 208600000X | Surgeon | 036-099012 | IL |
| Y | 2086S0102X | Surgical Critical Care | 36099012 | IL |
| N | 2086S0127X | Trauma Surgeon | 36099012 | IL |
National Provider Identifier
| NPI | 1508833344 |
|---|---|
| Provider Name | Stathis Poulakidas |
| First Address | Chicago, IL 60612-3714 |
| Second Address | Chicago, IL 60612-3714 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2006 |
| Last Update Date | 28/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H47343 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.