Willie J. Rucker, DDS

Dentist · Markham, IL

Individual Active NPI

NPI number 1205870169

Practice location

16048 Kedzie Avenue
Markham, IL 60428
Phone
(708) 331-4999
Fax
(708) 331-5043

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NPI record

NPI
1205870169
Entity type
Individual (Type 1)
Enumeration date
June 15, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL
Dentist 122300000X 12009827B IN

Mailing address

PO Box 0278
16048 Kedzie Avenue
Markham, IL 60428
Phone
(708) 331-4999
Fax
(708) 331-5043

About Dr. Rucker

Willie J. Rucker, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 16048 Kedzie Avenue, Markham, IL 60428. The NPI number 1205870169 was assigned on June 15, 2006 and the record was last updated on July 13, 2026.

Dr. Rucker lists a license in the registry: #12009827B (IN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Willie J. Rucker, DDS?

The NPI number is 1205870169.

What is the phone number of Dr. Rucker?

The phone number listed for the practice location is (708) 331-4999.

Where is Dr. Rucker located?

16048 Kedzie Avenue, Markham, IL 60428.

What is the taxonomy code for Dr. Rucker?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.