DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WAYNE M MCCULLOUGH

Active Sole Proprietor

WAYNE M MCCULLOUGH is a Podiatrist healthcare provider located in FRANKFORT, Illinois. NPI 1033284179 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · FRANKFORT, IL

Registration Details

NPI Number
1033284179
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2006 (19.763331426535 yrs)
Last Updated
Sep 21, 2015
Licenses
1939 (MA)
1939 (MA)
1939 (MA)
1939 (MA)
Sole Proprietor
Yes

Practice Information

Address
21813 CAPPEL LN
FRANKFORT, IL, 604232275
Browse IL providers · Browse ZIP 60423
Phone
9785496818
Fax
8476740892
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Radiology Podiatrist
Additional Specialty
Foot Surgery Podiatrist
Additional Specialty
Sports Medicine Podiatrist

Other Podiatrist Providers in FRANKFORT, IL

Name Credential NPI
ZACHARY G JAGMIN DPM 1194012328
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.