DR. MAGDALENO S NUCUM (NPI# 1124290671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124290671 |
| Entity Type | Individual |
| Full Name | DR. MAGDALENO S NUCUM |
| Credential | DDS |
| Practice Address |
287 N Weber Rd Bolingbrook IL 60490-1567 |
| Mailing Address |
5101 N Mulligan Ave Chicago IL 60630-1812 |
| Practice Telephone | 6302269292 |
| Mailing Telephone | 7736311794 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
287 N WEBER RD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60490-1567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801428263 | Emad Zaidi, Dmd PC | Dentist | 287 N Weber Rd, Bolingbrook, IL 60490-1567 | 2020-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055945 | Myeyedr Optometry of Illinois, LLC | Optometrist | 310 S Weber Road, Bolingbrook, IL 60490 | 2018-03-01 |
| 1609391812 | Christian Joy Lazaro Pangan | Physical Therapist | 306 Chick Evans St, Bolingbrook, IL 60490 | 2017-08-09 |
| 1922522515 | David-jamahl Ardison | Physical Therapist | 194 N Weber Road, Bolingbrook, IL 60490 | 2017-07-26 |
| 1508261298 | Haytham El-genedy | Chiropractor | 319 Veterans Pakwy Bolingbrook, Bolingbrook, IL 60490 | 2014-10-24 |
| 1568710465 | Anthony M Buonamici | Specialist/Technologist | 313 North Weber Road, Bolingbrook, IL 60490 | 2012-08-27 |
| 1235329384 | Fayez Mekhael Nagib Mekhael | Family Medicine | 2136 Mark Cir, Bolingbrook, IL 60490 | 2007-07-25 |
| 1841350584 | Mary M. Grimwood | Optometrist | 141 N. Weber Rd., Bolingbrook, IL 60490 | 2006-12-11 |
| 1154337962 | Nurses On Calls, Inc. | Home Health | 1475 Basswood Dr, Bolingbrook, IL 60490 | 2006-08-01 |
| 1801841150 | David E Zacher | Pharmacist | 1920 Danube Way, Bolingbrook, IL 60490 | 2006-05-24 |
| 1144229816 | Patricia Lee Colledge | Nurse Practitioner | 149 N Weber Rd, Bolingbrook, IL 60490 | 2005-07-15 |
| Find all providers in zip 60490 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093122327 | Tabassum Zaidi | Dentist | 100 N Vincent Dr, Bolingbrook, IL 60490-5586 | 2014-07-18 |
| 1811228554 | Yingchun Zhu | Dentist | 276 S Weber Rd Unit D, Bolingbrook, IL 60490-1549 | 2010-01-20 |
| 1023240918 | Milad Nourahmadi | Dentist | 210 N Bolingbrook Dr, Bolingbrook, IL 60440-2386 | 2009-08-11 |
| 1760691232 | Keith John Kalmanek | Dentist | 913 Lily Cache Ln, Bolingbrook, IL 60440-3131 | 2007-05-22 |
| 1336200450 | Deepa Sridhar | Dentist | 217 S Bolingbrook Dr, Bolingbrook, IL 60440-2931 | 2006-12-13 |
| 1700946001 | All Smiles Family Dental Care, Inc. | Dentist | 1705 W Boughton Rd, Bolingbrook, IL 60490-1550 | 2006-12-10 |
| 1174696165 | Maritza Aidee Perez | Dentist | 160 E Boughton Rd, Bolingbrook, IL 60440-2014 | 2006-11-16 |
| 1720189897 | Sibtain Kerai | Dentist | 335 N Schmidt Rd, Bolingbrook, IL 60440-1702 | 2006-09-25 |
| 1134228620 | Gary A. Rodgers,dds,pc Dba Professional Center of Dental Care | Dentist | 433 N Bolingbrook Dr, Bolingbrook, IL 60440-3704 | 2006-09-21 |
| 1043317613 | Priti C Chokshi | Dentist | 595 N Pinecrest Rd, Suite D1, Bolingbrook, IL 60440-2182 | 2006-09-17 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60490 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.