Doctor profile · Federal record
Dr. Cornell McCullom, D.D.S., M.D.
Oral and Maxillofacial Surgery (Dentist) · Chicago, IL
- NPI 1619124807
- 18 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
820 E 87Th St, Ste. 201
Chicago, IL 606196253
(773) 488-3738
fax (773) 874-6575
Credentials & registration
- NPI registered
- August 2008 — 18 yrs on file
- Specialty taxonomy
- 1223S0112X — NUCC code
- State license (1)
- Illinois #021001488
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619124807. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$535
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Keystone Dental INC. | 1 | $500.00 | |
| BioHorizons Implant Systems INC. | 1 | $19.88 | |
| Straumann USA LLC | 1 | $14.82 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
475
Patients
423
Total drug cost
$2,052
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 145 | 131 | $435 |
| Ibuprofen | Generic | 144 | 124 | $316 |
| Penicillin V Potassium | Generic | 133 | 121 | $969 |
| Amoxicillin | Generic | 31 | 27 | $141 |
| Clindamycin Hcl | Generic | 22 | 20 | $191 |
Frequently asked questions
What is Dr. Cornell McCullom's medical specialty?
Dr. Cornell McCullom practices Oral and Maxillofacial Surgery (Dentist) in Chicago, IL.
Where does Dr. Cornell McCullom practice?
Dr. Cornell McCullom practices at 820 E 87Th St, Chicago, IL 606196253. Office phone: 7734883738.
What is Dr. Cornell McCullom's NPI?
Dr. Cornell McCullom's National Provider Identifier (NPI) is 1619124807, issued by NPPES.