Individual
MICHAEL GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
225 E DEERPATH STE 290, LAKE FOREST, IL 60045-1973
(847) 295-2555
Mailing address
139 RIDGE RD, HIGHLAND PARK, IL 60035-4338
(847) 814-8910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029863
IL
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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