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General NPI Number Information
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NPI Number | 1891113437
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Entity Type | Individual
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Provider Name | KYRIAKOS PAPADIMITRIOU
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Gender | Male
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 2653 W OGDEN AVE FL 3
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City | CHICAGO
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State | IL
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Zip | 60608-1647
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Country | US
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Telephone | 773-257-6701
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Fax |
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Provider Business Mailing Address
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Address Line | 695 MERRICK AVE APT 417
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City | WESTBURY
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State | NY
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Zip | 11590-6723
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Country | US
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Telephone | 516-996-3214
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 036176202
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License Number State | IL
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