Individual
DR. VASILIS K SIOMOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., DOB: 06/23/193
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202
(847) 724-6513
(847) 724-6513
Mailing address
1710 RIVERSIDE CT, GLENVIEW, IL 60025-2035
(847) 724-6513
(847) 724-6513
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
036045374
IL
Other
Enumeration date
01/21/2007
Last updated
10/06/2014
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