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

DR. CORNELL MCCULLOM III, D.D.S., M.D.

Active

DR. CORNELL MCCULLOM III, D.D.S., M.D. is a Oral & Maxillofacial Surgery healthcare provider located in CHICAGO, Illinois. NPI 1619124807 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · CHICAGO, IL

Registration Details

NPI Number: 1619124807
Provider Type: Individual
Gender: Male
NPI Issued: Aug 19, 2008 (17.944765405023 yrs)
Last Updated: Aug 19, 2008
License: 021001488 (IL)

Practice Information

Address: 820 E 87TH ST

STE. 201

CHICAGO, IL, 606196253
Browse IL providers · Browse ZIP 60619
Phone: 7734883738
Fax: 7738746575
Primary Specialty: Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in CHICAGO, IL

Name	Credential	NPI
DR. MICHAEL A. KRELL	D.D.S., M.S.	1669470217
DR. BRUCE MICHAEL REUBEN	D.D.S., M.S.	1508864158
MR. LAWRENCE H ZAGER	DDS	1245227867
DR. DAVID S. EVASKUS	D.D.S., M.S.	1285657833
DR. STEVEN KAHN	D.D.S., O.M.S.	1578579488
GENE SBALCHIERO	DDS	1265547467

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.