George S. Panos D.d.s. Ltd.

NPI #1053600791 in Chicago, Illinois

Provider Information

NPI Number: 1053600791
Entity Type: Organization
Organization Name: George S. Panos D.d.s. Ltd.
Primary Specialty: Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date: Apr 4, 2011
Last Updated: Apr 4, 2011

Practice Location

Address: 5470 W MADISON ST
City: Chicago
State: Illinois
ZIP Code: 60644-4031
Phone: (773) 287-2277

Authorized Official

Name: DR. GEORGE S. PANOS, D.D.S.
Title: PRESIDENT
Phone: (630) 650-2428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	261QS0112X	Primary

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