MEDICARE: DR. DANIEL J. GULINSKI D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist		IL

General Provider Information

NPI Number	:	1205007440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL J. GULINSKI D.D.S.

Provider Business Mailing Address
First Line	:	825 VILLAGE QUARTER RD
Second Line	:	SUITE-A3
City	:	WEST DUNDEE
State	:	IL
Zip	:	60118-2194
Country	:	US
Telephone Number	:	847-428-7220
Fax Number	:	847-428-6649

Provider Business Practice Location Address
First Line	:	825 VILLAGE QUARTER RD
Second Line	:	SUITE-A3
City	:	WEST DUNDEE
State	:	IL
Zip	:	60118-2194
Country	:	US
Telephone Number	:	847-428-7220
Fax Number	:	847-428-6649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2008
Last Update Date	:	03/16/2008

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