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Dr. Cornell Mccullom III, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Chicago, Illinois
NPI 1619124807

Cornell Mccullom III is a Oral and Maxillofacial Surgery (Dentist) based in Chicago, IL and is specialized in Oral and Maxillofacial Surgery. Cornell Mccullom III practices in Chicago, IL and has the professional credentials of DDS,MD. The NPI Number for Cornell Mccullom III is 1619124807 and holds a License No. 021001488 (Illinois).

The current practice location address for Cornell Mccullom III is 820 E 87Th St, Chicago, IL and can be reached out via phone at 773-488-3738 and via fax at 773-874-6575.

Location: 820 E 87Th St, Chicago, IL, 60619-6253
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Provider Profile Details
NPI Number
1619124807
Provider Name
Cornell Mccullom III
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
820 E 87Th St, Chicago, IL, 60619-6253
Phone Number
773-488-3738
Fax Number
773-874-6575
Provider Enumeration Date
08/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
820 E 87Th St
City
State
Zip
60619-6253
Phone Number
773-488-3738
Fax Number
773-874-6575
person
Provider Business Mailing Address Details
Address
820 E 87Th St
City
State
Zip
60619-6253
Phone Number
773-488-3738
Fax Number
773-874-6575
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
021001488 (Illinois)
Definition
The specialty of dentistry which includes 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.
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