Individual
GENE SBALCHIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
801 S PAULINA ST, M/C 835, CHICAGO, IL 60612-7210
(312) 996-7496
(312) 996-5987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
190-12316
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21000607
IL
Other
Enumeration date
08/20/2006
Last updated
07/24/2007
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