Provider Demographics
NPI:1497827117
Name:ANTONAKOS, ANARGYROS STYLIANOS (DDS)
Entity Type:Individual
Prefix:
First Name:ANARGYROS
Middle Name:STYLIANOS
Last Name:ANTONAKOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3414 WINNETKA RD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1348
Mailing Address - Country:US
Mailing Address - Phone:847-657-0750
Mailing Address - Fax:847-657-0751
Practice Address - Street 1:1637 WAUKEGAN RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2152
Practice Address - Country:US
Practice Address - Phone:847-657-0750
Practice Address - Fax:847-657-0751
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice