Individual
JOHN NICHOLAS MOUSTOUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2436
Mailing address
2325 N WAYNE AVE, CHICAGO, IL 60614-3118
(504) 669-1233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01073262A
IN
207P00000X
Emergency Medicine Physician
Primary
036.134200
IL
Other
Enumeration date
04/04/2011
Last updated
07/23/2025
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