Whalio Doctors

NPI 1396993945

Michael Papadimitriou, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Chicago, IL

Practice location

Address
2440 W Peterson Ave, Chicago, IL 60659-4113
Phone
(773) 761-7171

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 019026374 (IL)
Dentist
Dental Providers Taxonomy 122300000X Licence 019026374 (IL)

Registry record

NPI
1396993945
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Sep 2008
Record last updated
13 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.