Individual
VASILIOS G BOURNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1032 E SUMNER ST, HARTFORD, WI 53027-1608
(262) 673-2300
Mailing address
6632 N KOLMAR AVE, LINCOLNWOOD, IL 60712-3332
(630) 532-2841
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.132065
IL
207P00000X
Emergency Medicine Physician
Primary
60856
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030222
—
WI
Enumeration date
03/30/2010
Last updated
04/23/2024
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