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NPI Code Detail

MEDICARE: STEPHEN MACLEOD DDS, MS

MEDICARE: STEPHEN MACLEOD DDS, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)136000177IL
2204E00000XOral & Maxillofacial Surgery (D.M.D.)137000853IL

General Provider Information

NPI Number : 1477507226
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN MACLEOD DDS, MS
Provider Business Mailing Address
First Line : 2160 S 1ST AVE
Second Line : MAGUIRE CENTER 1814
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-9000
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line : MAGUIRE CENTER 1814
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 02/03/2026

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Directions to “ STEPHEN MACLEOD DDS, MS” Practice Location

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