George Kouriabalis

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

License

14D2161589 Issued in IL

Practice address

9024 N Milwaukee Ave
Niles, IL 60714-1537

Phone

(847) 391-9881

Fax

(847) 391-9886

NPI assigned

Feb 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Exam Corp

  dba Exam Corp Lab

  • Clinical Medical Laboratory
  • Niles, IL
  • NPI 1841757218
  NPD Authorized official

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1891252268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9024 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141537",
            "telephone_number": "847-391-9881",
            "fax_number": "847-391-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9024 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141537",
            "telephone_number": "847-391-9881",
            "fax_number": "847-391-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURIABALIS",
        "first_name": "GEORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "IL",
            "license": "14D2161589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iwona Danuta Kochanski, D.D.S.
• Sara Marie Kochanski, M.A. SLP
• Adrianna M Kocik, FNP-C
• Leonard J Korona, D.N.
• Diane Kosinski, SLP
• Ann Marie Kowalski
• Zuber Koya, O.D.
• Dean Kravis, MD
• Heidel Kropp, M.S., CF-SLP
• Katarina Krstic, RD

• Medical Laboratory Technician in Niles, IL
• Providers in Niles, IL by specialty
• Medical Laboratory Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.