Individual
JEFFREY I. GAULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1105 W BELMONT AVE, CHICAGO, IL 60657-3312
(773) 281-7550
(773) 281-0808
Mailing address
1105 W BELMONT AVE, CHICAGO, IL 60657-3312
(773) 281-7550
(773) 281-0808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-017454
IL
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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