Provider Demographics
NPI:1982389169
Name:GIANARAKIS, MICHAEL NICHOLAS (MBBS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:NICHOLAS
Last Name:GIANARAKIS
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 S WOOD STREET, SUITE 1000, MC 675
Mailing Address - Street 2:UI HEALTH, GRADUATE MEDICAL EDUCATION OFFICE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612
Mailing Address - Country:US
Mailing Address - Phone:312-996-2933
Mailing Address - Fax:
Practice Address - Street 1:800 S WOOD STREET, SUITE 1000, MC 675
Practice Address - Street 2:UI HEALTH, GRADUATE MEDICAL EDUCATION OFFICE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-996-2933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125082764207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine