Provider Demographics
NPI:1942249693
Name:PAPAGIANIS, HARRY JR (DPM)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:
Last Name:PAPAGIANIS
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 LAKE COOK RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4938
Mailing Address - Country:US
Mailing Address - Phone:847-498-4998
Mailing Address - Fax:847-498-4158
Practice Address - Street 1:707 LAKE COOK RD STE 130
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4938
Practice Address - Country:US
Practice Address - Phone:847-498-4998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016005151213ES0103X
IL016.005151213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU98178Medicare UPIN
ILK03296Medicare UPIN