Provider Demographics
NPI:1710003686
Name:ABADILLA, GILBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:
Last Name:ABADILLA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 S BLOOMINGDALE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1400
Mailing Address - Country:US
Mailing Address - Phone:630-529-2522
Mailing Address - Fax:630-529-2270
Practice Address - Street 1:183 S BLOOMINGDALE RD STE 200
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1400
Practice Address - Country:US
Practice Address - Phone:630-529-2522
Practice Address - Fax:630-529-2270
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019026840122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist