Doctor Name: | DR. JAANA KRISTIINA AVRAMIDIS |
NPI Number: | 1720075740 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036-094588 |
Business Practice Address: | 2400 Belvidere Road Waukegan, IL - 60085 |
Business Phone Number: | 8473778400 |
Business Fax Number: | 8479845619 |
Mailing Address: | 3010 Grand Avenue, WAUKEGAN |
State: | IL |
Postal Code: | 60085 |
Phone Number: | 8473778546 |
Fax Number: | 8473778808 |
NPI Enumeration Date: | 10/04/2005 |
NPI Last Update Date: | 12/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036-094588 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |