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Dr. Athena Kostidis, MD
Clinical Neurophysiology Physician in Maywood, Illinois
NPI 1386624575

Athena Kostidis is a Clinical Neurophysiology Physician based in Maywood, IL and is specialized in Clinical Neurophysiology. Athena Kostidis practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Athena Kostidis is 1386624575 and holds a License No. 36113445 (Illinois).

The current practice location address for Athena Kostidis is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 630-627-7399 and via fax at 630-627-7079.

Location: 2160 S 1St Ave, Maywood, IL, 60153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386624575
Provider Name
Athena Kostidis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2160 S 1St Ave, Maywood, IL, 60153
Phone Number
630-627-7399
Fax Number
630-627-7079
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36113445 05 IL
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153
Phone Number
630-627-7399
Fax Number
630-627-7079
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153
Phone Number
630-627-7399
Fax Number
630-627-7079
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
36113445 (Illinois)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
36113445 (Illinois)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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