Doctor profile · Federal record
Dr. Yetta McCullom, DDS, MA
Periodontist · Chicago, IL
- NPI 1285884791
- 18 yrs on file
- Female
- 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
- September 2008 — 18 yrs on file
- Profile last updated
- September 23, 2008
- Specialty taxonomy
- 1223P0300X — NUCC code
- State license (1)
- Illinois #021001516
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1285884791. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$35
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| BioHorizons Implant Systems Inc. | 1 | $19.89 | |
| Straumann USA LLC | 1 | $14.82 |
By nature of payment
Frequently asked questions
What is Dr. Yetta McCullom's medical specialty?
Dr. Yetta McCullom practices Periodontist in Chicago, IL.
Where does Dr. Yetta McCullom practice?
Dr. Yetta McCullom practices at 820 E 87Th St, Chicago, IL 606196253. Office phone: 7734883738.
What is Dr. Yetta McCullom's NPI?
Dr. Yetta McCullom's National Provider Identifier (NPI) is 1285884791, issued by NPPES.