Individual
LAUREN VASSILIADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E SUPERIOR ST STE 4-2304, CHICAGO, IL 60611-2914
(312) 695-5753
(312) 695-5645
Mailing address
WEISS MEMORIAL HOSPITAL, MEDICAL EDUCATION DPT., 4646 N. MARINE DRIVE, C ELEVATORS, 7TH FLR. # 7100, CHICAGO, IL 60640
(773) 564-5225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125072810
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036163732
IL
Other
Enumeration date
06/25/2018
Last updated
10/31/2023
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