Drs. Mccullom P.C.

LBN: Drs. Mccullom P.C.
Drs. Mccullom P.C. is an health care organization with primary practice located at 820 E 87Th St Suite 201, Chicago IL 60619-6253. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Periodontics is the primary health care specialty. Drs. Mccullom P.C. can be contacted via phone (773) 488-3738, or through Mccullom, Yetta G via phone (773) 488-3738.

Contact Information

Primary practice address
820 E 87Th St Suite 201 Chicago IL 60619-6253
Phone: (773) 488-3738
Fax: (773) 874-6575
Website:
Map and Directions
Authorized official contact:
Name: Mccullom, Yetta G Doctor of Dental Surgery (DDS)
Phone: (773) 488-3738

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1972649200
LBN Legal business name Drs. Mccullom P.C.
DBA Doing business as
Authorized official Mccullom, Yetta G Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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