Individual
DR. GABRIEL SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2551 N CLARK ST, SUITE 404, CHICAGO, IL 60614-1798
(773) 871-2161
Mailing address
2551 N CLARK ST, SUITE 404, CHICAGO, IL 60614-1798
(773) 871-2161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.024019
IL
1223E0200X
Endodontics
Primary
021.001924
IL
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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