Search › Illinois › 122300000X
Paul Petrungaro, DDS, MS
NPI 1063571974 · on the registry since 2006
Practice
- Address
- 330 W Frontage Rd Fl 2b
Northfield, IL 60093 - Phone
- (847) 386-6351
- Fax
- (847) 386-7169
- Organisation at this address
- Charles Galanis Mdsc
Suburban Surgical Services
Anthony J. Geroulis, Md., S.C
Start Smiling Dental Implant Centers Llc
North Shore Center For Facial Plastic And Cosmetic SurgeryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223P0300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois