NPI

Theodora Vamvouris

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2016-04-21
Last updated
2021-10-28

Specialties

Licenses

License CT
63646
License IL
036157462

Location

Practice location
676 N Saint Clair St Ste 600
City
Chicago IL
Postal code
60611-2981
Phone
(312) 664-3278

Medicare

PECOS
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LEIE

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