Individual
DR. GERALD D MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4165 OLD GRAND AVE, 2, GURNEE, IL 60031-2774
(847) 662-8388
Mailing address
4165 OLD GRAND AVE, 2, GURNEE, IL 60031-2774
(847) 662-8388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01921238
IL
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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