Dr. Noelle Galiber McCullom, DDS
Dentist, General Practice in Chicago, IL. Individual provider (NPI-1).
NPI number1831875475
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1831875475
- Entity type
- Individual (NPI-1)
- Name
- Dr. Noelle Galiber McCullom
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2023
- Certification date
- Aug 1, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019.034521 | IL | Yes |
Practice location
820 E 87th St Ste 201Chicago, IL 60619-6256
Phone 773-488-3738
Mailing address
820 E 87th St Ste 201Chicago, IL 60619-6256
Phone 773-488-3738
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