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SAMANTHA GHANAYEM BOUIKIDIS
Family Medicine Physician
NPI: 1588083232Individual
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
125065487(IL)67162(WI)
CMS Specialties
PrimaryFAMILY PRACTICE
Education
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Class of 2014
Contact & Hours
- Address
- 10400 75TH ST
KENOSHA, WI 53142 - Phone
- (262) 948-7370
Quick Facts
- NPI
- 1588083232
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 12
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