Organization
JAMES W MCGOUGH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WALTER MCGOUGH DDS (PRESIDENT)
(630) 892-1515
Entity
Organization
Contact information
Practice address
345 SULLIVAN RD, AURORA, IL 60506-1465
(630) 892-1515
(630) 892-1583
Mailing address
345 SULLIVAN RD, AURORA, IL 60506-1465
(630) 892-1515
(630) 892-1583
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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