Provider Demographics
NPI:1225711864
Name:SECOND CITY ORTHODONTICS, P.C.
Entity Type:Organization
Organization Name:SECOND CITY ORTHODONTICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:L
Authorized Official - Last Name:KARKAZIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-347-7874
Mailing Address - Street 1:1665 DUFFY LN
Mailing Address - Street 2:
Mailing Address - City:BANNOCKBURN
Mailing Address - State:IL
Mailing Address - Zip Code:60015-1509
Mailing Address - Country:US
Mailing Address - Phone:847-347-7874
Mailing Address - Fax:
Practice Address - Street 1:111 N WABASH AVE STE 810
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1912
Practice Address - Country:US
Practice Address - Phone:312-551-0500
Practice Address - Fax:312-372-0165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty