Waverly B Clanton in Chicago - Internal Medicine
Waverly B Clanton - NPI 1184706756
Waverly B Clanton is a Internal Medicine in Chicago, Illinois. Waverly B Clanton practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Waverly B Clanton is 1184706756. The last update date is 2022-04-20.
Waverly B Clanton's current location address is 1357 W 103rd St, Chicago, Illinois. You can contact this provider via phone number 7732380800 and fax number 7732380800. The mailing address for Waverly B Clanton is 1357 W 103rd St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Waverly B Clanton |
|---|---|
| Address | 1357 W 103rd St, Chicago, Illinois |
| Phone Number | 7732380800 |
| Fax Number | 7732380800 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184706756 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2022-04-20 |
Provider Mailing Address Detail
| Address | 1357 W 103rd St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606432392 |
| Phone Number | 7732380800 |
| Fax Number | 7732380800 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36068032 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Post Comment/ Review Below
What is the unique identifier code issued to Waverly B Clanton by the Centers for Medicare & Medicaid Services (CMS)?
The Waverly B Clanton has been assigned the NPI (National Provider Identifier) 1184706756. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Waverly B Clanton?
The Waverly B Clanton is physically situated at 1357 W 103Rd St, in the city of Chicago, state of IL, with the postal code 606432392.
What is the Waverly B Clanton's area of specialization and corresponding taxonomy classification?
The Waverly B Clanton's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Waverly B Clanton receive the assignment of its 1184706756 from the Centers for Medicare & Medicaid Services?
The Waverly B Clanton was issued its 1184706756 by the Centers for Medicare & Medicaid Services on 2006-10-20.
As of what date were the details related to Waverly B Clanton most recently updated or revised?
The information pertaining to Waverly B Clanton, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-20.
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