Terrence Robert Gilman Sr., D.D.S.

Individual provider Active NPI General Practice Dentistry · Bridgeview, IL

NPI 1508990920 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508990920
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
A14565 (IL)
Practice address
8233 S Harlem Ave
Bridgeview, IL 60455-1691
Phone
(708) 430-5088
Fax
(708) 430-5090
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A14565ILMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X A14565 IL Yes

Addresses

Primary practice location

8233 S Harlem Ave
Bridgeview, IL 60455-1691

Mailing address

13015 S McVickers Ave
Palos Heights, IL 60463-2354
Phone (708) 371-7712

Other providers in Bridgeview, IL

All providers in Bridgeview, IL · General Practice Dentistry in Illinois

Sources for this page

Verify at the official NPI Registry.