Kathleen Mccormick

NPI #1104168442 in Maywood, Illinois

Provider Information

NPI Number
1104168442
Entity Type
Individual
Name
Kathleen Mccormick
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Mar 25, 2013
Last Updated
Jul 22, 2013

Practice Location

Address
2160 S 1ST AVE
ZIP Code
60153-3328
Phone
(708) 327-3041

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist

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