Individual
KRISTINA MARIA BOUROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1239 WINDHAM PKWY, ROMEOVILLE, IL 60446-1608
(815) 942-6323
(779) 210-5541
Mailing address
PO BOX 713260, CHICAGO, IL 60677-0264
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071-010119
IL
Other
Enumeration date
07/23/2018
Last updated
05/19/2023
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