Provider Demographics
NPI:1851411011
Name:GILBERT, CHARLES FRANK
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:FRANK
Last Name:GILBERT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 E GOLF RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4966
Mailing Address - Country:US
Mailing Address - Phone:847-593-8465
Mailing Address - Fax:847-593-5144
Practice Address - Street 1:617 E GOLF RD
Practice Address - Street 2:SUITE 106
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4966
Practice Address - Country:US
Practice Address - Phone:847-593-8465
Practice Address - Fax:847-593-5144
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice