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General NPI Number Information
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NPI Number | 1609036029
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Entity Type | Individual
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Provider Name | NIKI A CHRISTOPOULOS MD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 215 N PEORIA ST FL 1
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City | CHICAGO
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State | IL
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Zip | 60607-1754
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Country | US
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Telephone | 312-445-9827
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Fax |
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Provider Business Mailing Address
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Address Line | 1017 W WASHINGTON BLVD UNIT 2K
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City | CHICAGO
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State | IL
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Zip | 60607-2106
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Country | US
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Telephone | 773-459-6815
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 036114589
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License Number State | IL
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