Individual
DR. ANGELO PANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1903 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 525-8353
(773) 525-2595
Mailing address
1903 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 525-8353
(773) 525-2595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020659
IL
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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