Individual
DR. DIMITRIOS T. MOUGOLIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 990-2075
Mailing address
181 W OLIVE ST, ELMHURST, IL 60126-3909
(708) 870-8289
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036118251
IL
207P00000X
Emergency Medicine Physician
53098-20
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036118251
IL
Other
Enumeration date
05/21/2007
Last updated
02/12/2024
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