Dr. Gordon Mathew Callison
Prosthodontist
820 S Damen Ave Jesse Brown Vamc Dental Service
Chicago
, Illinois 60612-3728
Dr. Gordon Mathew Callison
Prosthodontist
820 S Damen Ave Jesse Brown Vamc Dental Service
Chicago
, Illinois 60612-3728
(312) 569-8089
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Gordon Mathew Callison
- 438 S Ashland Ave
- La Grange, IL
- Zip : 60525-6310
- Fax : (312) 569-8089
- Phone : (708) 508-0437
Second Address
- Dr. Gordon Mathew Callison
- 820 S Damen Ave Jesse Brown Vamc Dental Service
- Chicago, IL
- Zip : 60612-3728
- Fax : (312) 569-8089
- Phone : (312) 569-6669
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | IL |
National Provider Identifier
| NPI | 1053412718 |
|---|---|
| Provider Name | Dr. Gordon Mathew Callison |
| First Address | La Grange, IL 60525-6310 |
| Second Address | Chicago, IL 60612-3728 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.