Individual
DR. SEBOUH A GUEYIKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE., DEPARTMENT OF RADIOLOGY, EVANSTON, IL 60201-1718
(847) 570-2475
(847) 570-2942
Mailing address
2650 RIDGE AVE., DEPARTMENT OF RADIOLOGY, EVANSTON, IL 60201-1718
(847) 570-2475
(847) 570-2942
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-103347
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036-103347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-103347-1
—
IL
05
—
100038389
—
WI
Enumeration date
07/22/2005
Last updated
06/14/2022
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