DRS. MCCULLOM P.C. NPI 1972649200

NPI Information

DRS. MCCULLOM P.C. is an oral and maxillofacial surgery dentist in Chicago, IL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DRS. MCCULLOM P.C. NPI is 1972649200. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

820 E 87TH ST
SUITE 201
CHICAGO, IL
ZIP 60619-253
Phone: (773) 488-3738
Fax: (773) 874-6575

The provider's authorized official is Yetta G Mccullom .
The authorized official title is Vp And Cheif Finanical Officer and has the following contact phone number (773) 488-3738.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.