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Individual

STEPHEN MACLEOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
2160 S 1ST AVE, MAGUIRE CENTER 1814, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAGUIRE CENTER 1814, MAYWOOD, IL 60153-3328
(708) 216-9000

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
136000177
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
137000853
IL

Other

Enumeration date
05/19/2006
Last updated
02/03/2026
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