Angella Charnot-Katsikas, LTD
Organization Active NPI Clinic/Center · Worth, IL
NPI 1982836680 · NPPES record last updated Aug 13, 2009
Key facts
- NPI
- 1982836680
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 036121904 (IL)
- Legal business name
- ANGELLA CHARNOT-KATSIKAS, LTD
- Practice address
- 11555 S Harlem Ave
Suite C
Worth, IL 60482-2300 - Phone
- (708) 691-4472
- Fax
- (708) 671-1433
- NPI assigned
- Aug 13, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Angella Charnot-Katsikas, M.D.
- Title
- Owner / Medical Director
- Phone
- (708) 691-4472
Practitioners 2
-
Jeanette K. Fefles, D.C.
-
Brittany K. Hennigan, D.C.
National Provider Directory
Locations
11555 S Harlem Ave
Ste C
Worth, IL 60482
Phone (708) 671-1444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 036121904 | IL | Yes |
Addresses
Primary practice location
11555 S Harlem Ave
Suite C
Worth, IL 60482-2300
Mailing address
11555 S Harlem Ave
Suite C
Worth, IL 60482-2300
Phone (708) 691-4472
Other names
- Mediterranean Medicine
Other providers in Worth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.