Individual
DR. MAGDALENO S NUCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
287 N WEBER RD, BOLINGBROOK, IL 60490-1567
(630) 226-9292
Mailing address
5101 N MULLIGAN AVE, CHICAGO, IL 60630-1812
(773) 631-1794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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