| John N Kiriklakis, Md Pc | |
|
1111 Superior St Suite 408 Melrose Park IL 60160-4138 | |
| (708) 345-2035 | |
| (708) 345-2040 |
| Full Name | John N Kiriklakis, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Superior St, Melrose Park, Illinois |
| Authorized Official Name and Position | John Nicholas Kiriklakis (PRESIDENT) |
| Authorized Official Contact | 7083452035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John N Kiriklakis, Md Pc 1111 Superior St Suite 408 Melrose Park IL 60160-4138 Ph: (708) 345-2035 | John N Kiriklakis, Md Pc 1111 Superior St Suite 408 Melrose Park IL 60160-4138 Ph: (708) 345-2035 |
| NPI Number | 1184812075 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 10/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184812075 | NPI | - | NPPES |
| 110238628 | Other | IL | RAILROAD |
| 01632337 | Other | IL | BLUE CROSS |
| 036100938 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036100938 (Illinois) | Primary |
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