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NPI Code Detail

MEDICARE: ANTOINETTE SPERELAKIS M.D.

MEDICARE: ANTOINETTE SPERELAKIS M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianIL

General Provider Information

NPI Number : 1184624074
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTOINETTE SPERELAKIS M.D.
Provider Business Mailing Address
First Line : 520 E 22ND ST
Second Line :
City : LOMBARD
State : IL
Zip : 60148-6110
Country : US
Telephone Number : 630-874-2542
Fax Number : 630-874-2642
Provider Business Practice Location Address
First Line : 12251 S 80TH AVE
Second Line : PALOS COMMUNITY HOSPITAL / PATHOLOGY DEPARTMENT
City : PALOS HEIGHTS
State : IL
Zip : 60463-1256
Country : US
Telephone Number : 708-923-5076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 07/08/2007

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