Individual
DR. THANASIS CHRISTOS BAVELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
530 NE GLEN OAK AVE, CARE OF LORI DYAR, PEORIA, IL 61637-0001
(309) 655-7768
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125-044192
IL
Other
Enumeration date
05/16/2007
Last updated
10/23/2023
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