Individual provider · Type 1 NPI

Willie J. Rucker, DDS

Dentist · Markham, IL

NPI number 1205870169 Active

Practice location

16048 Kedzie Avenue
Markham, IL 60428

Fax (708) 331-5043

Mailing address

PO Box 0278, 16048 Kedzie Avenue
Markham, IL 60428

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X12009827B (IN)
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

About NPI 1205870169

Willie J. Rucker, DDS's National Provider Identifier is 1205870169, issued on Jun 15, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Markham, IL. The record was last updated on Jul 13, 2026.