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Contact Information

THOMAS E BOURNIAS, MD
233 E ERIE
SUITE 614
CHICAGO, IL60611
 Phone: 312-703-9990
 Fax: 312-703-9994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for THOMAS E BOURNIAS · (Male)

NPI Number 1386712180
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 36093343
  • IL Other 01633407 BLUE CROSS BLUE SHIELD
  • IL Other P00164880 RAILROAD MEDICARE
Hospital affiliation(s)
  • EVANSTON HOSPITAL - (Acute Care)
    2650 RIDGE AVE
    EVANSTON, IL 60201
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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