Individual
VASILIKI VOURVAHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 S PROSPECT AVE, PARK RIDGE, IL 60068-4035
(847) 318-8122
(847) 318-8122
Mailing address
8544 MASON AVE, MORTON GROVE, IL 60053-3312
(847) 445-3821
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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