GORDON MATHEW CALLISON

CHICAGO, IL
NPI1053412718
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: IL  319-007952)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
Dr. GORDON MATHEW CALLISON D.D.S.
820 S DAMEN AVE JESSE BROWN VAMC DENTAL SERVICE
CHICAGO, IL 60612-3728
Phone number: 312-569-6669
Mailing Address
Dr. GORDON MATHEW CALLISON D.D.S.
438 S ASHLAND AVE
LA GRANGE, IL 60525-6310
Phone number: 708-508-0437
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