John William Clancy in Glen Ellyn - General Practice

John William Clancy - NPI 1821155920

John William Clancy is a General Practice in Glen Ellyn, Illinois. John William Clancy practices all healthcare services and medical treatments related to General Practice. The NPI Number for John William Clancy is 1821155920. The last update date is 2007-07-08.

John William Clancy's current location address is 22 N Park Blvd, Glen Ellyn, Illinois. You can contact this provider via phone number 6308583321. The mailing address for John William Clancy is 22 N Park Blvd, Glen Ellyn, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name John William Clancy
Address 22 N Park Blvd, Glen Ellyn, Illinois
Phone Number 6308583321
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1821155920
Provider Enumeration Date 2007-01-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 22 N Park Blvd
City Glen Ellyn
State Illinois (IL)
Post Code 601375770
Phone Number 6308583321
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about John William Clancy

What is the John William Clancy's 1821155920?

The John William Clancy's NPI (National Provider Identifier) Number is 1821155920. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where John William Clancy's facilities are situated?

The facilities of John William Clancy are physically located at the following address: 22 N Park Blvd, Glen Ellyn, IL, 601375770.

What is John William Clancy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John William Clancy is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1821155920 to John William Clancy?

The Centers for Medicare & Medicaid Services originally issued the 1821155920 to John William Clancy on 2007-01-02.

When was the information regarding John William Clancy most recently updated?

The details pertaining to the John William Clancy, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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