Individual
DR. GEORGE S. PANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2208 MIDWEST RD, OAK BROOK, IL 60523-1277
(630) 954-4747
Mailing address
1901 W HARRISON ST, DEPARTMENT OF SURGERY, CHICAGO, IL 60612-3714
(312) 864-6503
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019-022207
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
019-022207
IL
Other
Enumeration date
01/24/2007
Last updated
04/28/2021
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