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Samantha Ghanayem Bouikidis
Family Medicine Physician in Kenosha, Wisconsin
NPI 1588083232

Samantha Ghanayem Bouikidis is a Family Medicine Physician based in Chicago, WI. Samantha Ghanayem Bouikidis practices in Kenosha, WI. The NPI Number for Samantha Ghanayem Bouikidis is 1588083232 and holds a License No. 125065487 (Wisconsin).

The current practice location address for Samantha Ghanayem Bouikidis is 10400 75Th St, Kenosha, WI and can be reached out via phone at 262-948-7370. You can also correspond with Samantha Ghanayem Bouikidis through the mailing address at PO BOX 735044, CHICAGO, IL - 60673-5044 (mailing address contact number: ).

Location: 10400 75Th St, Kenosha, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588083232
Provider Name
Samantha Ghanayem Bouikidis
Credential
Provider Entity Type
Individual
Gender
Female
Address
10400 75Th St, Kenosha, WI, 60673-5044
Phone Number
262-948-7370
Fax Number
Provider Enumeration Date
04/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100070028 05 WI
1588083232 05 WI
institution
Provider Business Practice Location Address Details
Address
10400 75Th St
City
Kenosha
State
Wisconsin
Zip
53142-7884
Phone Number
262-948-7370
Fax Number
person
Provider Business Mailing Address Details
Address
10400 75Th St
City
Kenosha
State
Wisconsin
Zip
53142-7884
Phone Number
262-948-7370
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
125065487 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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