Callison, Gordon Mathew

Callison, Gordon Mathew is an sole proprietor health care provider with primary practice located at 820 S Damen Ave Jesse Brown Vamc Dental Service, Chicago IL 60612-3728. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Callison, Gordon Mathew can be contacted via phone (312) 569-6669.

Contact Information

Primary practice address
820 S Damen Ave Jesse Brown Vamc Dental Service Chicago IL 60612-3728
Phone: (312) 569-6669
Fax: (312) 569-8089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X Illinois

Profile Details

NPI number 1053412718
LBN Legal business name Callison, Gordon Mathew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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