| Doctor Name: | MR. DIMITRIOS S MASTROGIANNIS |
| NPI Number: | 1083644132 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD,PHD,FACOG |
| License Number: | 181866 |
| Business Practice Address: | 820 South Wood Street Mc 808 Chicago, IL - 60612 |
| Business Phone Number: | 3129967300 |
| Business Fax Number: | 3129964238 |
| Mailing Address: | 820 S Wood St # Mc808, CHICAGO |
| State: | IL |
| Postal Code: | 606124325 |
| Phone Number: | 3129967300 |
| Fax Number: | 3129964238 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 03/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 181866 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |