DR. Vasilis K Siomopoulos, M.D., DOB: 06/23/193

NPI #1801949813 in Evanston, Illinois

Provider Information

NPI Number: 1801949813
Entity Type: Individual
Name: DR. Vasilis K Siomopoulos, M.D., DOB: 06/23/193
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Community Health
Credential: M.D., DOB: 06/23/193
Enumeration Date: Jan 21, 2007
Last Updated: Oct 6, 2014

Practice Location

Address: 355 RIDGE AVE
City: Evanston
State: Illinois
ZIP Code: 60202
Phone: (847) 724-6513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Community Health — Community Health	261QC1500X	Primary

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