Most Relevant Information
Provider Data
| NPI Number: | 1003045428 |
| Provider Name: | MOANIS KARAM HILMY BASTAWROUS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 125056915 |
Most Important Dates
| Enumeration Date: | 07/07/2009 |
| Last Updated: | 07/07/2009 |
Provider Practice Location
3003 GREEN BAY ROAD
CHICAGO
IL
60064
Practice Location Phone/Fax
| Phone: | 3472288628 |
| Fax: |
Provider Mailing Location
3503 GREEN BAY RD APT 108
NORTH CHICAGO
IL
600643619
Provider Mailing Phone/Fax
| Phone: | 3472288628 |
| Fax: |
Suggested EMR
Psychiatry EMR