Theodore Dimoulis, D.M.D
NPI 1811370083 · on the registry since 2015
Practice
- Address
- 1645 W Ogden Ave
Unit 506
Chicago, IL 60612 - Phone
- (847) 651-2692
- Organisation at this address
- Alpha Rx Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
- Licence states on file
- IL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-06
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