Individual
DR. KEVIN D. MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7301 W 25TH ST, #127, NORTH RIVERSIDE, IL 60546-1409
(708) 732-1997
Mailing address
7301 W 25TH ST, #127, NORTH RIVERSIDE, IL 60546-1409
(708) 732-1997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-025535
IL
Other
Enumeration date
11/09/2005
Last updated
09/20/2009
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