OrganizationActive
Gargiulo Periodontics
NPI 1780538504 · Periodontics · Chicago, IL
Provider details
- NPI number
- 1780538504
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Alejandra Baca, Practice Manager(773) 286-4800
Specialties & taxonomies
Dental Providers
Practice location
4200 W Peterson Ave Ste 128
Chicago, IL 60646-6812
Phone: (773) 286-4800
Fax: (773) 243-0043
Approximate (ZIP-level) locationGet directions
Mailing address
4200 W Peterson Ave Ste 128
Chicago, IL 60646-6812
Registry dates
- Enumerated
- 2026-02-26
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.