MEDICARE: ARGIRO ZOFAKIS, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3160253776	OTHER	IL	BC/BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134391261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARGIRO ZOFAKIS, LTD

Provider Business Mailing Address
First Line	:	5783 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4722
Country	:	US
Telephone Number	:	773-728-8003
Fax Number	:	773-728-9757

Provider Business Practice Location Address
First Line	:	5783 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4722
Country	:	US
Telephone Number	:	773-728-8003
Fax Number	:	773-728-9757

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARGIRO ZOFAKIS
Credential	:	M.D.
Telephone Number	:	773-728-8003

Provider Enumeration Date	:	03/28/2008
Last Update Date	:	12/21/2010

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