Individual
DR. KEROLOS TAWFEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST, CHICAGO, IL 60611-2987
(312) 926-6363
Mailing address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
(312) 695-6868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036146684
IL
207Q00000X
Family Medicine Physician
32358
OK
207Q00000X
Family Medicine Physician
BP10056695
TX
207Q00000X
Family Medicine Physician
R8121
TX
Other
Enumeration date
06/13/2016
Last updated
04/30/2021
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