Petrakos, Dimitra

Petrakos, Dimitra is an individual health care provider with primary practice located at 2803 W 95Th St , Evergreen Park IL 60805-2702. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Petrakos, Dimitra can be contacted via phone (708) 425-1134.

Contact Information

Primary practice address
2803 W 95Th St Evergreen Park IL 60805-2702
Phone: (708) 425-1134
Fax: (708) 423-3779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X Illinois

Profile Details

NPI number 1164604740
LBN Legal business name Petrakos, Dimitra
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 2007 - about 18 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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