Individual
DR. CHRISTOPHER GORSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9601 165TH ST, SUITE 1, ORLAND PARK, IL 60467-5660
(708) 460-3220
Mailing address
9601 165TH ST, SUITE 1, ORLAND PARK, IL 60467-5660
(708) 460-3220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030318
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019.030318
STATE DENTAL LICENSE
IL
Enumeration date
06/20/2016
Last updated
04/28/2017
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