Individual
DR. MICHAEL PAPADIMITRIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2440 W PETERSON AVE, CHICAGO, IL 60659-4113
(773) 761-7171
Mailing address
2440 W PETERSON AVE, CHICAGO, IL 60659-4113
(773) 761-7171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019026374
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
019026374
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019026374
—
IL
Enumeration date
09/08/2008
Last updated
03/13/2025
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