Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Athanasios Nicolozakes, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578144556

Athanasios Nicolozakes, DDS is a Student in an Organized Health Care Education/Training Program in Oak Lawn, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4560 W 103rd St
Oak Lawn, IL 60453-4869
Phone: (708) 423-5155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1144 Lake St Ste 213, Oak Park, IL 60301-1043 — (708) 295-3243

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.033194 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578144556
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022
Mailing address4560 W 103rd St, Oak Lawn, IL 60453-4869

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