Individual
DR. RICHARD G. GRUBEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5307 N HARLEM AVE, CHICAGO, IL 60656-1805
(773) 774-4331
Mailing address
5307 N HARLEM AVE, CHICAGO, IL 60656-1805
(773) 774-4331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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