Provider Demographics
NPI:1912276940
Name:MCSWEENEY, WILLIAM JAMES JR (D,D,S,)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:MCSWEENEY
Suffix:JR
Gender:M
Credentials:D,D,S,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 TURNER AVENUE
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3955
Mailing Address - Country:US
Mailing Address - Phone:847-437-3250
Mailing Address - Fax:847-437-3251
Practice Address - Street 1:70 TURNER AVENUE
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3955
Practice Address - Country:US
Practice Address - Phone:847-437-3250
Practice Address - Fax:847-437-3251
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19A14109122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist