Individual
NASHAAT N BOUTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
440 LAKE COOK RD STE 2, DEERFIELD, IL 60015
(847) 945-6463
(847) 945-6469
Mailing address
440 LAKE COOK RD STE 2, DEERFIELD, IL 60015-5263
(847) 945-6463
(847) 945-6469
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.061302
IL
Other
Enumeration date
06/01/2006
Last updated
04/30/2019
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