Individual
MOANIS KARAM HILMY BASTAWROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 GREEN BAY ROAD, CHICAGO, IL 60064
(347) 228-8628
Mailing address
3503 GREEN BAY RD APT 108, NORTH CHICAGO, IL 60064-3619
(347) 228-8628
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125056915
IL
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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