Individual
DR. JAMES POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5470 W MADISON ST, CHICAGO, IL 60644-4031
(773) 287-2277
(773) 287-2573
Mailing address
5470 W MADISON ST, CHICAGO, IL 60644-4031
(773) 287-2277
(773) 287-2573
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020091
IL
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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