Provider Demographics
NPI:1003266958
Name:GATTUSO, FRANCESCA JESSICA (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCESCA
Middle Name:JESSICA
Last Name:GATTUSO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 W MADISON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-2228
Mailing Address - Country:US
Mailing Address - Phone:312-491-0601
Mailing Address - Fax:
Practice Address - Street 1:4516 S DAMEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60609-3013
Practice Address - Country:US
Practice Address - Phone:773-869-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019030707122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist