Individual
DR. VERA BOUTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
036128848
IL
207Q00000X
Family Medicine Physician
036128848
IL
Other
Enumeration date
02/13/2009
Last updated
11/22/2024
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