Individual provider · Type 1 NPI
Vasilis K. Siomopoulos, MD, DOB: //193
Community Health Clinic/Center · Evanston, IL
NPI number
1801949813
Active
Practice location
355 Ridge Ave
Evanston, IL 60202
Fax (847) 724-6513
Mailing address
1710 Riverside Ct
Glenview, IL 60025-2035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | 036045374 (IL) |
Community Health Clinic/Center: Definition to come...
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About NPI 1801949813
Vasilis K. Siomopoulos, MD, DOB: //193's National Provider Identifier is 1801949813, issued on Jan 21, 2007. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Evanston, IL. The record was last updated on Sep 29, 2026.