IndividualActive
Moanis Bastawrous, MD
NPI 1003045428 · Psychiatry Physician · Chicago, IL
Moanis Bastawrous, MD is a Psychiatry Physician provider in Chicago, IL (NPI 1003045428).
Provider details
- NPI number
- 1003045428
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 125056915 (IL)
Practice location
3003 Green Bay Road
Chicago, IL 60064
Phone: (347) 228-8628
Street-level locationGet directions
Mailing address
3503 Green Bay Rd Apt 108
North Chicago, IL 60064-3619
Registry dates
- Enumerated
- 2009-07-07
- Last updated
- 2009-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.