Healthcare Provider Details

I. General information

NPI: 1144684598
Provider Name (Legal Business Name): KAREN JOHANNA ESCOBAR ALMEIDA M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 S CALIFORNIA AVE
CHICAGO IL
60632-2016
US

IV. Provider business mailing address

2001 S CALIFORNIA AVE
CHICAGO IL
60608-2486
US

V. Phone/Fax

Practice location:
  • Phone: 773-584-6200
  • Fax:
Mailing address:
  • Phone: 773-584-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036151823
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: