Choukas, Chris Nicholas

Choukas, Chris Nicholas is an individual health care provider with primary practice located at 800 Main St , Antioch IL 60002. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Choukas, Chris Nicholas can be contacted via phone (847) 395-7955.

Contact Information

Primary practice address
800 Main St Antioch IL 60002
Phone: (847) 395-7955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2583015 Wisconsin
Dental Providers / Dentist 122300000X Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Illinois

Profile Details

NPI number 1649330077
LBN Legal business name Choukas, Chris Nicholas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649330077 NPPES
Illinois Other 80016153 BC BS

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