Kouris, George J

Kouris, George J is an sole proprietor health care provider with primary practice located at 1611 W Harrison St 212, Chicago IL 60612-4861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Kouris, George J can be contacted via phone (312) 432-2850.

Contact Information

Primary practice address
1611 W Harrison St 212 Chicago IL 60612-4861
Phone: (312) 432-2850
Fax: (312) 563-2545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036-108015 Illinois

Profile Details

NPI number 1841341179
LBN Legal business name Kouris, George J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Jan 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841341179 NPPES
Illinois MEDICAID 036108015
Illinois Other 1634518

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