| Pdaspc | |
|
1029 Howard St Ste 201 Evanston IL 60202-3877 | |
| (847) 491-0660 | |
| (847) 869-5858 |
| Full Name | Pdaspc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1029 Howard St Ste 201, Evanston, Illinois |
| Authorized Official Name and Position | Frank L. Karkazis (PRESIDENT) |
| Authorized Official Contact | 8474910660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdaspc 1029 Howard St Ste 201 Evanston IL 60202-3877 Ph: (847) 491-0660 | Pdaspc 1029 Howard St Ste 201 Evanston IL 60202-3877 Ph: (847) 491-0660 |
| NPI Number | 1326661778 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 05/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326661778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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