Organization Name: | NICHOLAS DUNKAS MD AND ASSOCIATES |
NPI Number: | 1366563256 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICHOLAS DUNKAS (OWNER) |
Mailing Address: | 708 Church St Suite 216 Evanston |
State: | IL US |
Postal Code: | 602013875 |
Phone Number: | 8478644744 |
Fax Number: | 8478649523 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |