Willie J Rucker is a Dentist in Markham, Illinois. Willie J Rucker practices all healthcare services and medical treatments related to Dentist. The NPI Number for Willie J Rucker is 1205870169. The last update date is 2007-07-08.
Willie J Rucker's current location address is Po Box 0278, Markham, Illinois. You can contact this provider via phone number 7083314999 and fax number 7083315043. The mailing address for Willie J Rucker is Po Box 0278, Markham, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willie J Rucker |
|---|---|
| Address | Po Box 0278, Markham, Illinois |
| Phone Number | 7083314999 |
| Fax Number | 7083315043 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1205870169 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 0278 |
|---|---|
| City | Markham |
| State | Illinois (IL) |
| Post Code | 60428 |
| Phone Number | 7083314999 |
| Fax Number | 7083315043 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12009827B |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Willie J Rucker's unique identification number?
The Willie J Rucker has been assigned the NPI (National Provider Identifier) Number 1205870169 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Willie J Rucker's facilities are geographically located?
The facilities of Willie J Rucker are physically situated at the following location: Po Box 0278, Markham, IL, 60428.
What is the Willie J Rucker's area of specialization and corresponding taxonomy classification?
The Willie J Rucker's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Willie J Rucker receive its 1205870169?
The Willie J Rucker was issued its 1205870169 on 2006-06-15, which is the date when the organization was assigned this unique identifier.
When was the Willie J Rucker's information last updated?
The Willie J Rucker's information was last updated on 2007-07-08.