Individual provider Active NPI

Tina Zofakis

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1023347135
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125053743 Issued in IL
Practice address
5783 N Lincoln Ave
Chicago, IL 60659-4722
Phone
(773) 728-8003
NPI assigned
Dec 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125053743 IL Primary

Addresses

Primary practice location

5783 N Lincoln Ave
Chicago, IL 60659-4722

Mailing address

3414 Winchester LN
Glenview, IL 60026-5753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000440 IL Practitioner - Internal Medicine 6901094242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Argiro Zofakis LTDGroup PAC ID 1951599430, 2 clinicians

Practice addresses (Care Compare)

5783 N Lincoln Ave
Chicago, IL 60659-4722
Phone (773) 728-8003

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125053743ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Argiro Zofakis, LTD Internal Medicine CurrentSince Jan 27, 2011 Accepting new patients

Locations

5783 N Lincoln Ave
Chicago, IL 60659
Phone (773) 728-8003

2608 Patriot Blvd
Glenview, IL 60026
Phone (847) 729-0400

Interoperability endpoints

  • Direct secure messaging: tina.zofakis.1@27576.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1023347135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 WINCHESTER LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5783 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594722",
            "telephone_number": "773-728-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOFAKIS",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125053743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.