Healthcare Provider Details

I. General information

NPI: 1649330465
Provider Name (Legal Business Name): EVA FIKS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 W LAKE ST
MELROSE PARK IL
60160-4039
US

IV. Provider business mailing address

900 JORIE BLVD STE 220
OAK BROOK IL
60523-2213
US

V. Phone/Fax

Practice location:
  • Phone: 708-681-3000
  • Fax:
Mailing address:
  • Phone: 630-645-9900
  • Fax: 630-645-9910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: