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General NPI Number Information
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NPI Number | 1134406291
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Entity Type | Organization
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Legal Business Name | MAKRISMD LLC
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 700 PASQUINELLI DR
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City | WESTMONT
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State | IL
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Zip | 60559-1382
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Country | US
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Telephone | 630-323-8690
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Fax | 630-323-8657
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Provider Business Mailing Address
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Address Line | PO BOX 417438
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City | BOSTON
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State | MA
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Zip | 02241-7438
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Country | US
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Telephone | 610-644-8900
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Fax | 484-924-0053
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANGELO NICHOLAS MAKRIS
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Credential | M.D.
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Telephone | 630-323-8690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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