Healthcare Provider Details

I. General information

NPI: 1730717307
Provider Name (Legal Business Name): ZOE M KAPS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ZOE M ANTONIOU

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5145 N CALIFORNIA AVE
CHICAGO IL
60625-3661
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 773-989-3800
  • Fax: 773-989-1693
Mailing address:
  • Phone: 847-570-2040
  • Fax: 847-733-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4351046412
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: