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Willie Rucker, DDS — NPI 1205870169, Markham, IL | NPI Central

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NPI 1205870169

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Willie Rucker, DDS

NPI 1205870169 · Dentist · Markham, IL

Provider details

NPI number: 1205870169
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
License: 12009827B (IN)

Specialties & taxonomies

DentistPrimary122300000X
Dental Providers
Dentist122300000XLicense 12009827B (IN)
Dental Providers

Practice location

16048 Kedzie Avenue

Markham, IL 60428

Phone: (708) 331-4999

Fax: (708) 331-5043

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

Po Box 0278

Markham, IL 60428

Registry dates

Enumerated: 2006-06-15
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.