| Georgios Asimis M.d. | |
|
805 W Randolph St. Suite 202 Chicago IL 60607-2333 | |
| (305) 877-4544 | |
| (312) 291-9126 |
| Full Name | Georgios Asimis M.d. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 805 W Randolph St. Suite 202, Chicago, Illinois |
| Authorized Official Name and Position | Georgios Nikolaos Asimis (PRESIDENT) |
| Authorized Official Contact | 3058774544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgios Asimis M.d. 805 W Randolph St. Suite 202 Chicago IL 60607-2333 Ph: (312) 526-3500 | Georgios Asimis M.d. 805 W Randolph St. Suite 202 Chicago IL 60607-2333 Ph: (305) 877-4544 |
| NPI Number | 1518670769 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Medicare PECOS PAC ID | 1456725191 |
|---|---|
| Medicare Enrollment ID | O20230321002065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518670769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Georgios N Asimis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407093537 PECOS PAC ID: 1254504517 Enrollment ID: I20180423002997 |
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