Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stathis Poulakidas, MD

Individual provider Surgery Physician · NPI 1508833344

Stathis Poulakidas, MD is a Critical Care (Intensivists) in Libertyville, Illinois. Qualified in 1996, 30 years ago. Practices with Cook County, a 787-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
30
Licensed in
IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone: (847) 362-2900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 W Harrison St, Chicago, IL 60612-3714 — (312) 864-3166

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 36099012 (IL)
Surgery Physician Taxonomy 208600000X · Licence 036-099012 (IL)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 36099012 (IL)

Record details

NPI number1508833344
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 1, 2006
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesCOLORECTAL SURGERY (PROCTOLOGY), EMERGENCY MEDICINE, GENERAL SURGERY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Cook County — 787 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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