| James W Mcgough DDS PC | |
|
345 Sullivan Rd Aurora IL 60506-1465 | |
| (630) 892-1515 | |
| (630) 892-1583 |
| Full Name | James W Mcgough DDS PC |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 345 Sullivan Rd, Aurora, Illinois |
| Authorized Official Name and Position | James Walter Mcgough (PRESIDENT) |
| Authorized Official Contact | 6308921515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James W Mcgough DDS PC 345 Sullivan Rd Aurora IL 60506-1465 Ph: (630) 892-1515 | James W Mcgough DDS PC 345 Sullivan Rd Aurora IL 60506-1465 Ph: (630) 892-1515 |
| NPI Number | 1073634051 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073634051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
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