Provider Demographics
NPI:1154501963
Name:MCMAHON, JILL CHRISTINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:CHRISTINE
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 W OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2952
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7329 NORTH AVE
Practice Address - Street 2:
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-1220
Practice Address - Country:US
Practice Address - Phone:708-488-9700
Practice Address - Fax:708-488-9777
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL027438122300000X
IL019.027438122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist