Search › Illinois › 1223G0001X
Tracey Gaston, DDS
NPI 1770762866 · on the registry since 2007 · sole proprietor
Practice
- Address
- 9901 S Western Ave Ste 209
Chicago, IL 60643 - Phone
- (773) 233-1710
- Fax
- (773) 233-1704
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois