Tsoukalas, Dimitri Theodore

Tsoukalas, Dimitri Theodore is an sole proprietor health care provider with primary practice located at 14624 John Humphrey Dr , Orland Park IL 60462-2642. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tsoukalas, Dimitri Theodore can be contacted via phone (708) 349-6606.

Contact Information

Primary practice address
14624 John Humphrey Dr Orland Park IL 60462-2642
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1861695983
LBN Legal business name Tsoukalas, Dimitri Theodore
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
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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