Provider Demographics
NPI:1912079872
Name:PAHOPOS, LOUIS A (PMD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:A
Last Name:PAHOPOS
Suffix:
Gender:M
Credentials:PMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 N YORK ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2383
Mailing Address - Country:US
Mailing Address - Phone:630-993-0780
Mailing Address - Fax:630-993-1390
Practice Address - Street 1:314 N YORK ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2383
Practice Address - Country:US
Practice Address - Phone:630-993-0780
Practice Address - Fax:630-993-1390
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019023674122300000X
IL019023764122300000X
IL01923674122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist