MEDICARE: DR. IRENE PANAYOTOU M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	036-037853	IL

General Provider Information

NPI Number	:	1770613689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRENE PANAYOTOU M.D

Provider Business Mailing Address
First Line	:	1300 N LAKE SHORE DR APT 37D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-5163
Country	:	US
Telephone Number	:	312-664-7399
Fax Number	:

Provider Business Practice Location Address
First Line	:	4564 N BROADWAY ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5602
Country	:	US
Telephone Number	:	773-271-9700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	02/08/2011

Similar Medicare Providers

1396888061 — BROADWAY PHARMACY INC
Practice Location Address:

4564 N BROADWAY ST
CHICAGO, IL
60640-5602

Practice Phone: 773-271-9727
Practice Fax: 773-271-8306

1619091535 — HINSDALE MEDICAL SUPPLIES, INC.
Practice Location Address:

4540 N BROADWAY ST
CHICAGO, IL
60640-5602

Practice Phone: 773-271-2209
Practice Fax: 773-271-2309

1356814503 — THOMPSON MEDICAL INCORPORATED
Practice Location Address:

4564 N BROADWAY ST
CHICAGO, IL
60640-5602

Practice Phone: 773-271-9700
Practice Fax: 773-271-9700

1366141459 — OBASEKI & ASSOCIATES INC.
Practice Location Address:

4552 N BROADWAY ST UNIT 214
CHICAGO, IL
60640-5602

Practice Phone: 773-791-3116
Practice Fax:

1891192308 — DR. TIFFANY DELL'AQUILA PSY.D.
Practice Location Address:

1711 N CLEVELAND AVE
CHICAGO, IL
60614-5602

Practice Phone: 773-255-4200
Practice Fax:

1730030388 — INNER HAVEN THERAPY AND WELLNESS PLLC
Practice Location Address:

4813 N PAULINA ST APT 3
CHICAGO, IL
60640-0113

Practice Phone: 414-403-6993
Practice Fax:

Directions to “ DR. IRENE PANAYOTOU M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.