Individual
DR. DIMITRI J. HARALAMPOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2316 W MADISON ST, CHICAGO, IL 60612-2228
(312) 491-0601
Mailing address
PO BOX 49, GLENVIEW, IL 60025-0049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023680
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002123
—
IL
Enumeration date
08/10/2005
Last updated
05/15/2015
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