Individual
DR. JAMES WALTER MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
0190016639
IL
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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