Individual
STAVROS G. DOUVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
501 ELMWOOD AVE, WILMETTE, IL 60091-1973
(647) 256-2902
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-0151618
IL
Other
Enumeration date
02/18/2008
Last updated
02/19/2008
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