MR. John L Bakouris, ATC, CSCS

NPI #1053383562 in Lockport, Illinois

Provider Information

NPI Number: 1053383562
Entity Type: Individual
Name: MR. John L Bakouris, ATC, CSCS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: ATC, CSCS
Enumeration Date: Feb 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 420 SUMMIT DR
City: Lockport
State: Illinois
ZIP Code: 60441-3241
Phone: (815) 834-9901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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