# DR. GERRY AYLWARD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801014295
- **Authorized official:** DR. GERRY AYLWARD DDS, M.S. (OWNER)
- **Authorized official phone:** (708) 456-5454

## Contact information

- **Practice address:** 7310 W NORTH AVE, STE. 2A, ELMWOOD PARK, IL 60707-4252
- **Practice address phone:** (708) 456-5454
- **Practice address fax:** (708) 456-5497
- **Mailing address:** 7310 W NORTH AVE, STE. 2A, ELMWOOD PARK, IL 60707-4252
- **Mailing address phone:** (708) 456-5454
- **Mailing address fax:** (708) 456-5497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | IL | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 08/22/2020