IndividualActive
Vasilis Siomopoulos, M.D., DOB: 06/23/193
NPI 1801949813 · Community Health Clinic/Center · Evanston, IL
Provider details
- NPI number
- 1801949813
- Entity type
- Individual
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Credential
- M.D., DOB: 06/23/193
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036045374 (IL)
Practice location
355 Ridge Ave
Evanston, IL 60202
Phone: (847) 724-6513
Fax: (847) 724-6513
Mailing address
1710 Riverside Ct
Glenview, IL 60025-2035
Registry dates
- Enumerated
- 2007-01-21
- Last updated
- 2014-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.