Papadimitriou, Michael

Papadimitriou, Michael is an individual health care provider with primary practice located at 2440 W Peterson Ave , Chicago IL 60659-4113. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Papadimitriou, Michael can be contacted via phone (773) 761-7171.

Contact Information

Primary practice address
2440 W Peterson Ave Chicago IL 60659-4113
Phone: (773) 761-7171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019026374 Illinois
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 019026374 Illinois

Profile Details

NPI number 1396993945
LBN Legal business name Papadimitriou, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2008
Last updated Dec 3rd, 2021 - about 4 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 1396993945 NPPES
Illinois MEDICAID 019026374

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