Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATHIS POULAKIDAS, MD
ActiveSTATHIS POULAKIDAS, MD is a Surgical Critical Care healthcare provider located in LIBERTYVILLE, Illinois. NPI 1508833344 is currently active in the NPPES registry. Verify at CMS.
Surgical Critical Care · LIBERTYVILLE, IL
Registration Details
- NPI Number
- 1508833344
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2006 (20.480899082305 yrs)
- Last Updated
- Apr 7, 2022
- Licenses
-
036-099012 (IL)36099012 (IL)36099012 (IL)
Practice Information
- Address
-
801 S MILWAUKEE AVELIBERTYVILLE, IL, 600483204Browse IL providers · Browse ZIP 60048
- Phone
- 8473622900
- Primary Specialty
-
Surgical Critical Care
2086S0102X
- Additional Specialty
- Trauma Surgery
- Additional Specialty
- Surgical Critical Care
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.