John Dimoulis, DDS MS

Periodontics · Chicago, IL

Individual Active NPI

NPI number 1962592865

Practice location

5780 N Lincoln Ave
Chicago, IL 60659-4721
Phone
(773) 769-1754
Fax
(773) 769-1350

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NPI record

NPI
1962592865
Entity type
Individual (Type 1)
Enumeration date
October 13, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X — IL

About John Dimoulis

John Dimoulis, DDS MS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 5780 N Lincoln Ave, Chicago, IL 60659-4721. The NPI number 1962592865 was assigned on October 13, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of John Dimoulis, DDS MS?

The NPI number is 1962592865.

What is the phone number of John Dimoulis?

The phone number listed for the practice location is (773) 769-1754.

Where is John Dimoulis located?

5780 N Lincoln Ave, Chicago, IL 60659-4721.

What is the taxonomy code for John Dimoulis?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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