OrganizationActive
Drs. Mccullom P.C.
NPI 1972649200 · Periodontics · Chicago, IL
Drs. Mccullom P.C. is a Periodontics organization in Chicago, IL (NPI 1972649200).
Provider details
- NPI number
- 1972649200
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Yetta Mccullom, Vp and Cheif Finanical Officer(773) 488-3738
Specialties & taxonomies
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 E 87th St
Suite 201
Chicago, IL 60619-6253
Phone: (773) 488-3738
Fax: (773) 874-6575
Street-level locationGet directions
Mailing address
820 E 87th St
Chicago, IL 60619-6253
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2025-09-11
Frequently asked questions
- What is Drs. Mccullom P.C.'s NPI number?
- Drs. Mccullom P.C.'s National Provider Identifier (NPI) is 1972649200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Drs. Mccullom P.C.?
- Drs. Mccullom P.C. is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Drs. Mccullom P.C. located?
- Drs. Mccullom P.C.'s practice location on file with NPPES is 820 E 87th St, Chicago, IL 60619-6253.
- What is Drs. Mccullom P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Drs. Mccullom P.C. is (773) 488-3738.
- Who is the authorized official for Drs. Mccullom P.C.?
- The authorized official listed on Drs. Mccullom P.C.'s NPPES record is Yetta Mccullom, Vp and Cheif Finanical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Drs. Mccullom P.C.'s NPI active?
- Yes — Drs. Mccullom P.C.'s NPI (1972649200) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.