Most Relevant Information
Provider Data
| NPI Number: | 1003358466 |
| Provider Name: | MARY GOURIS OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 046011071 |
Most Important Dates
| Enumeration Date: | 11/15/2016 |
| Last Updated: | 11/15/2016 |
Provider Practice Location
225 N MICHIGAN AVE
CHICAGO
IL
606017757
Practice Location Phone/Fax
| Phone: | 3128190199 |
| Fax: |
Provider Mailing Location
225 N MICHIGAN AVE
CHICAGO
IL
606017757
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |