Individual
DR. CONSTANTINE THEODOROPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5866 N LINCOLN AVE, SUITE 101, CHICAGO, IL 60659-4632
(776) 506-8054
Mailing address
5866 N LINCOLN AVE, SUITE 101, CHICAGO, IL 60659-4632
(776) 506-8054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-019164
IL
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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