Individual
DR. GLORIA G JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1803 S THROOP ST, CHICAGO, IL 60608-3865
(312) 633-0400
(312) 633-9460
Mailing address
233 E 13TH ST, #1309, CHICAGO, IL 60605-3237
(312) 493-6497
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9177291
—
IL
Enumeration date
11/17/2005
Last updated
12/10/2014
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