Pdanpc | |
1029 Howard St Ste 201 Evanston IL 60202-3877 | |
(847) 491-0660 | |
(847) 869-5858 |
Full Name | Pdanpc |
---|---|
Speciality | Dentist - General Practice |
Location | 1029 Howard St Ste 201, Evanston, Illinois |
Authorized Official Name and Position | Frank L. Karkazis (PRESIDENT) |
Authorized Official Contact | 8474910660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pdanpc 1029 Howard St Ste 201 Evanston IL 60202-3877 Ph: (847) 491-0660 | Pdanpc 1029 Howard St Ste 201 Evanston IL 60202-3877 Ph: (847) 491-0660 |
NPI Number | 1306469754 |
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Provider Enumeration Date | 05/20/2020 |
Last Update Date | 05/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306469754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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