Individual
PHILIP KOUCHOUKOS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3435 W VAN BUREN ST, CHICAGO, IL 60624-3312
(773) 265-4571
Mailing address
34404 EAGLE WAY, CHICAGO, IL 60678-1344
(630) 734-0200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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