Nikolas J. Antoniou, M.D. Valid NPI

Individual provider · Family Medicine Physician · Gurnee, IL

NPI

1487683793

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

036-098315 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-06-30

Last updated

2021-03-30