Individual
MR. JOHN L BAKOURIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
420 SUMMIT DR, LOCKPORT, IL 60441-3241
(815) 834-9901
(815) 834-9904
Mailing address
8631 GLENSHIRE ST, TINLEY PARK, IL 60477-7041
(815) 464-1294
(815) 834-9904
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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