Gustavson, Gary
Gustavson, Gary is an individual health care provider with primary practice located at 64 Old Orchard Ctr Ste 528, Skokie IL 60077-1440. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gustavson, Gary can be contacted via phone (847) 675-3311.Contact Information
Primary practice address
64 Old Orchard Ctr Ste 528
Skokie IL 60077-1440
Phone: (847) 675-3311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 19-15094 | Illinois |
Profile Details
| NPI number | 1003812579 |
|---|---|
| LBN Legal business name | Gustavson, Gary |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Popular Providers
-
Hann, Patrick C.
5550 Touhy Ave Ste 402 , Skokie IL 60077-3227 -
Racean, Diana C.
3412 Main St 1-St Floor, Skokie IL 60076-2452 -
Urban, Veronika
9933 Lawler Ave Suite # 403, Skokie IL 60077-3703 -
Lin, Luh-Yuan
64 Old Orchard Rd Ste 624, Skokie IL 60077 -
Soni, Anand
3919 Howard St , Skokie IL 60076-3778 -
Haralampopoulos, Stella
64 Old Orchard Rd Suite710, Skokie IL 60077 -
Prince, Clifford
4535 Oakton St , Skokie IL 60076-3117 -
Center, David
9933 Lawler Av E. Suite 204 , Skokie IL 60077-3757