TIM S. PROVIAS

CHICAGO, IL
NPI1912169764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: IL  036129441)
Enumeration Date2008-07-01
Last Update Date2015-03-25
Business Address
-- TIM S. PROVIAS M.D.
675 N SAINT CLAIR ST GALTER 19-100
CHICAGO, IL 60611-5975
Phone number: 312-695-2458
Mailing Address
-- TIM S. PROVIAS M.D.
680 N LAKE SHORE DR SUITE 1000
CHICAGO, IL 60611-4546
Phone number: 312-695-2458
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