IndividualActive
Stathis Poulakidas, MD
NPI 1508833344 · Surgical Critical Care Physician · Libertyville, IL
Provider details
- NPI number
- 1508833344
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036-099012 (IL)
Practice location
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone: (847) 362-2900
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Registry dates
- Enumerated
- 2006-03-01
- Last updated
- 2022-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.