Individual
DR. EUSTATHIA J. PANOUSHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 E HURON ST, GALTER AMBULATORY PAVILLION SUITE 12-260, CHICAGO, IL 60611-3197
(312) 926-9570
(312) 926-6776
Mailing address
1350 W FULLERTON AVE, #405, CHICAGO, IL 60614-2198
(773) 327-2156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
12/29/2005
Last updated
11/30/2007
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