Individual
DR. GEORGE BARDOUNIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2210 DEAN ST, SUITE B, ST CHARLES, IL 60175-1066
(630) 377-5300
(630) 377-6721
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-1066
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-091313
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091313
—
IL
Enumeration date
07/21/2005
Last updated
12/15/2021
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