MEDICARE: DR. GINA M MAKRIS DC

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	111N00000X	Chiropractor		IL

General Provider Information

NPI Number	:	1801808324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GINA M MAKRIS DC

Provider Business Mailing Address
First Line	:	200 N DEARBORN ST APT 3208
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-1626
Country	:	US
Telephone Number	:	312-422-1881
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N DEARBORN ST APT 3208
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-1626
Country	:	US
Telephone Number	:	312-422-1881
Fax Number	:

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/08/2007

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