Individual
DR. HOLLIS HUNTER GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11700 S WESTERN AVE, SUITE 2, CHICAGO, IL 60643-4757
(773) 233-4780
(773) 233-4703
Mailing address
11700 S WESTERN AVE, SUITE 2, CHICAGO, IL 60643-4757
(773) 233-4780
(773) 233-4703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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