Provider Demographics
NPI:1932279635
Name:SAPOUNTZI, PARASKEVI (MD)
Entity type:Individual
Prefix:
First Name:PARASKEVI
Middle Name:
Last Name:SAPOUNTZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 S ARLINGTON HEIGHTS RD
Mailing Address - Street 2:STE. 111
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4185
Mailing Address - Country:US
Mailing Address - Phone:847-228-3200
Mailing Address - Fax:847-228-3740
Practice Address - Street 1:2101 S ARLINGTON HEIGHTS RD
Practice Address - Street 2:STE. 111
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4185
Practice Address - Country:US
Practice Address - Phone:847-228-3200
Practice Address - Fax:847-228-3740
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036108480207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036108480Medicaid
IL036108480Medicaid
IN221300Medicare PIN