Individual
GREGORY MICHAEL SHUBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6800 MAIN ST, SUITE 315, DOWNERS GROVE, IL 60516
(630) 969-5350
Mailing address
260 MAPLEWOOD RD, RIVERSIDE, IL 60546
(708) 442-1690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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