Individual
LAWRENCE JOSEPH BAHOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
1047 AUDUBON RD, GROSSE POINTE PARK, MI 48230-1406
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036142471
IL
Other
Enumeration date
06/21/2012
Last updated
10/28/2022
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