ATHENA KOSTIDIS MD – NPI #1386624575
Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
ATHENA KOSTIDIS is a psychiatry & neurologist located in MAYWOOD, IL. NPPES has assigned the NPI number 1386624575 to ATHENA KOSTIDIS on January 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology
The NPI profile was previously updated about 17 years ago on Oct 13, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATHENA KOSTIDIS below.
NPI Profile for
ATHENA KOSTIDIS
(more than 20 years ago)
(17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)
MAYWOOD, IL 60153 Phone: (630) 627-7399 Fax: (630) 627-7079
Identifiers for ATHENA KOSTIDIS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | IL | 36113445 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2084N0400X - Psychiatry & Neurology / Neurology (Primary) |
IL | 36113445 |
| 2084N0600X - Psychiatry & Neurology / Clinical Neurophysiology |
IL | 36113445 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
ATHENA KOSTIDIS is affiliated with the following medical group(s):
- HOSPITAL
- LOYOLA UNIVERSITY MEDICAL CENTER2160 S 1ST AVENUE
MAYWOOD, IL 60153
- LOYOLA UNIVERSITY MEDICAL CENTER2160 S 1ST AVENUE
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