Individual
DR. THEODORA VAMVOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 600, CHICAGO, IL 60611-2981
(312) 664-3278
(312) 695-0063
Mailing address
676 N SAINT CLAIR ST STE 600, CHICAGO, IL 60611-2981
(312) 664-3278
(312) 695-0063
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036157462
IL
208M00000X
Hospitalist Physician
63646
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2016
Last updated
10/28/2021
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