Provider Demographics
NPI:1255605580
Name:MICHAEL J KARAKOURTIS DDS LTD.
Entity type:Organization
Organization Name:MICHAEL J KARAKOURTIS DDS LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:EULER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-355-9449
Mailing Address - Street 1:720 BROM CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6595
Mailing Address - Country:US
Mailing Address - Phone:630-355-9449
Mailing Address - Fax:
Practice Address - Street 1:720 BROM CT
Practice Address - Street 2:SUITE 103
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6595
Practice Address - Country:US
Practice Address - Phone:630-355-9449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL021.000691204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty