George S. Panos D.d.s. Ltd.

NPI 1053600791 - Clinic/Center - 261QS0112X

NPI Details
NPI 1053600791
Enumeration Date 04/04/2011
Last Updated 04/04/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GEORGE S. GEORGE
Position PRESIDENT
Phone (773) 287-2277
Fax
Practice Location
5470 W MADISON ST
CHICAGO IL, 60644-4031, US
Phone (773) 287-2277
Fax
Business Location
PO BOX 651
CARPENTERSVILLE IL, 60110-0651, US
Phone
Fax
Toxanomy
Taxonomy Code 261QS0112X
License State Illinois
License Number 019022207
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According to our database, George S. Panos D.d.s. Ltd. NPI is 1053600791, taxonomy code is 261QS0112X and license number is 019022207, license state is located at Illinois. George S. Panos D.d.s. Ltd. physically located at 5470 W Madison St, Chicago IL, 60644-4031. NPI Number 1033115704 has the healthcare provider type.

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1053600791 NPI number is provided on an as is basis without warranty of any kind. 1053600791 is maintained by the National Plan & Provider Enumeration System. The contents of George S. Panos D.d.s. Ltd. are for informational purposes only.