Wayne M Mccullough
Podiatrist Sports Medicine Foot Surgery Primary Podiatric Medicine
21813 Cappel Ln
Frankfort
, Illinois 60423-2275
Wayne M Mccullough
Podiatrist Sports Medicine Foot Surgery Primary Podiatric Medicine
21813 Cappel Ln
Frankfort
, Illinois 60423-2275
(847) 674-0892
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Sports Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Wayne M Mccullough
- 21813 Cappel Ln
- Frankfort, IL
- Zip : 60423-2275
- Fax : (847) 674-0892
- Phone : (978) 549-6818
Second Address
- Wayne M Mccullough
- 21813 Cappel Ln
- Frankfort, IL
- Zip : 60423-2275
- Fax : (847) 674-0892
- Phone : (978) 549-6818
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FAQs
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Where is Wayne M Mccullough ’s practice located?
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Is Wayne M Mccullough a sole practitioner?
Is Wayne M Mccullough accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1939 | MA |
| Y | 222Z00000X | Podiatrist | 1939 | MA |
| N | 213EP1101X | Primary Podiatric Medicine | 1939 | MA |
| N | 2081S0010X | Sports Medicine | 1939 | MA |
| N | 213ES0000X | Sports Medicine | 1939 | MA |
| N | 213ES0131X | Foot Surgery | 1939 | MA |
National Provider Identifier
| NPI | 1033284179 |
|---|---|
| Provider Name | Wayne M Mccullough |
| First Address | Frankfort, IL 60423-2275 |
| Second Address | Frankfort, IL 60423-2275 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2006 |
| Last Update Date | 21/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0363037 | (05) | MA |
| U17828 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.