GEORGE S. PANOS D.D.S. LTD. (NPI# 1053600791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053600791 |
| Entity Type | Organization |
| Organization Name | GEORGE S. PANOS D.D.S. LTD. |
| Practice Address |
5470 W Madison St Chicago IL 60644-4031 |
| Mailing Address |
Po Box 651 Carpentersville IL 60110-0651 |
| Practice Telephone | 7732872277 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |
| Authorized Official Name | DR. GEORGE S. PANOS (PRESIDENT) |
| Authorized Official Telephone | 6306502428 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
019022207 | IL | Ambulatory Health Care Facilities |
| Street Address |
5470 W MADISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801883608 | Tvs Rx Inc | Pharmacy | 5470 W Madison St, Chicago, IL 60644-4031 | 2005-10-05 |
| 1669026852 | Nicholas James Poulos | Dentist | 5470 W Madison St, Chicago, IL 60644-4026 | 2019-07-26 |
| 1467907493 | Catherine Cabotaje | Pharmacist | 5470 W Madison St, Chicago, IL 60644-4031 | 2016-08-19 |
| 1043600042 | Dr Ashwini S Joshi Inc | Dentist | 5470 W Madison St, Chicago, IL 60644-4031 | 2015-01-28 |
| 1831516970 | Midwest Pharmacy Services LLC | Pharmacy | 5470 W Madison St, Chicago, IL 60644-4031 | 2014-03-26 |
| 1235333154 | James Poulos | Dentist | 5470 W Madison St, Chicago, IL 60644-4031 | 2007-06-13 |
| 1356545263 | David Kim | Dentist | 5470 W Madison St, Chicago, IL 60644-4031 | 2007-06-13 |
| 1881897700 | Patricia J Nemec | Dentist | 5470 W Madison St, Chicago, IL 60644-4031 | 2007-06-07 |
| 1942322664 | Madison Pine Dental | Dentist | 5470 W Madison St, Chicago, IL 60644-4031 | 2007-04-04 |
| 1093851941 | Ather Nizam | Internal Medicine | 5470 W Madison St, Chicago, IL 60644-4031 | 2007-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535638 | Marta Yvonne Palmer | Technician | 5008 W Adams, Chicago, IL 60644 | 2019-09-04 |
| 1861056848 | B U I L D Incorporated | Social Worker | 5100 W Harrison St., Chicago, IL 60644 | 2019-04-25 |
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1336408665 | Meghan Nancy Daw | Dietitian, Registered | 646 S Central Ave, Chicago, IL 60644 | 2012-05-07 |
| 1164790515 | Elizabeth Eleanor Reid-tate | Pharmacist | 5222 W. Madison Avenue, Chicago, IL 60644 | 2011-12-13 |
| 1134458466 | Power Teen Program | Psychologist | 300 N Central Ave, Chicago, IL 60644 | 2009-12-16 |
| 1417198342 | Betty Jean Lofton | Counselor | 5938 W. Midway Park, Chicago, IL 60644 | 2009-03-24 |
| 1881856094 | Sanjay M. Patel M.d. S.c. | Psychiatry & Neurology | 5730 W. Roosevelt Road, Chicago, IL 60644 | 2008-06-29 |
| 1639348691 | Ysl Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 5107-21 West Jackson Blvd, Chicago, IL 60644 | 2008-02-25 |
| 1073795845 | Maryanne Rakidzioski | Occupational Therapist | 5103 W Jackson Blvd, Chicago, IL 60644 | 2007-12-03 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861209 | Winterset Dental Care PC | Clinic/Center | 8559 S Pulaski Rd Ste 103, Chicago, IL 60652-3643 | 2018-08-15 |
| 1679070189 | Lakeside Oral & Implant Surgery Institute, PC | Clinic/Center | 5758 S Maryland Ave # 4h, Chicago, IL 60637-1426 | 2018-04-11 |
| 1962753210 | Millennium Surgical, Inc | Clinic/Center | 5978 S Archer Ave, Chicago, IL 60638-2817 | 2012-09-26 |
| 1598250995 | Periodontics and Implant Dentistry LLC | Clinic/Center | 8559 S Pulaski Rd, Chicago, IL 60652-3643 | 2018-06-27 |
| 1558643734 | Northwestern Oral & Maxillofacial Surgeons PC | Clinic/Center | 201 E Huron St, Suite 12-100, Chicago, IL 60611-3197 | 2011-09-14 |
| 1609956903 | Rush Presbyterian-st Lukes Med Ctr | Clinic/Center | 1725 W Harrison St, Suite 425, Pob 1, Chicago, IL 60612-3841 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605351 | The Bloom Oral Surgery, P.C. | Clinic/Center | 219 N Hammes Ave Ste 1, Joliet, IL 60435-8145 | 2019-08-26 |
| 1528543121 | Joms LLC | Clinic/Center | 10 Martin Ave Ste 164, Naperville, IL 60540-6563 | 2018-09-28 |
| 1851551642 | Alan Andreas Harvey | Clinic/Center | 2500 Ridge Ave Ste 302, Evanston, IL 60201-2477 | 2008-06-15 |
| 1881808053 | Oral and Maxillofacial Surgery Specalists Ltd. | Clinic/Center | 4035 Morsay Dr., Rockford, IL 61107-4871 | 2007-05-09 |
| 1962599605 | Affiliated Oral & Maxillofacial Surgeons Ltd | Clinic/Center | 3438 N Old Arlington Heights Rd, Arlington Heights, IL 60004 | 2006-10-06 |
| 1437703113 | Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il | Clinic/Center | 208 N Walnut Ave, Forreston, IL 61030-9330 | 2019-07-30 |
| 1205288982 | Lakeside Oral & Facial Surgery Institute | Clinic/Center | 2500 Ridge Ave, Suite 302, Evanston, IL 60201-2455 | 2016-07-06 |
| 1760850291 | Kloberdanz Oral Surgery and Dental Implants P.C. | Clinic/Center | 2580 Foxfield Rd Ste 100, St Charles, IL 60174-1411 | 2015-09-15 |
| 1811379142 | Rock River Oral Surgery & Dental Implant Center LLC | Clinic/Center | 973 Featherstone Rd, Suite 102, Rockford, IL 61107-5912 | 2015-06-23 |
| 1124257571 | John Brunetti, Dmd, Ltd. | Clinic/Center | 1 E Phillip Rd, Suite 101, Vernon Hills, IL 60061-1858 | 2009-07-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.