Maltezos, Angelo Nicholas

Maltezos, Angelo Nicholas is an individual health care provider with primary practice located at 649 N 1St Bank Dr , Palatine IL 60067-8111. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Maltezos, Angelo Nicholas can be contacted via phone (847) 934-4200.

Contact Information

Primary practice address
649 N 1St Bank Dr Palatine IL 60067-8111
Phone: (847) 934-4200
Fax: (847) 934-4294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1598978090
LBN Legal business name Maltezos, Angelo Nicholas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598978090 NPPES
Illinois MEDICAID 1004355

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