Elsa Gamboa is a Chicago, Illinois based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Elsa Gamboa is 022954 for Dentistry in Illinois. Her current practice location is 6913 W Grand Ave, Chicago. Patients can reach her at 773-622-4006.
Elsa Gamboa is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Elsa Gamboa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Elsa Gamboa
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
6913 W Grand Ave, Chicago, Illinois, 60707
Phone:
773-622-4006
Fax:
773-622-4114
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1427132109
NPI Enumeration Date:
25 Oct, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elsa Gamboa are as mentioned below.
License Number
Specialization
State
Status
022954
Dentistry
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Elsa Gamboa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1001939
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6913 W Grand Ave, Chicago, Illinois
Zip:
60707
Phone Number:
773-622-4006
Fax Number:
773-622-4114
Patients can reach Elsa Gamboa at 6913 W Grand Ave, Chicago, Illinois or can call to book an appointment on 773-622-4006. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.