Jack D Clemis in Chicago - Otology & Neurotology

Jack D Clemis - NPI 1740272483

Jack D Clemis is a Otology & Neurotology in Chicago, Illinois. Jack D Clemis practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for Jack D Clemis is 1740272483. The last update date is 2013-02-13.

Jack D Clemis's current location address is 151 N Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3129384327 and fax number 3129380490. The mailing address for Jack D Clemis is 151 N Michigan Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack D Clemis
Address 151 N Michigan Ave, Chicago, Illinois
Phone Number 3129384327
Fax Number 3129380490
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1740272483
Provider Enumeration Date 2005-08-18
Last Updated Date 2013-02-13

Provider Mailing Address Detail

Address 151 N Michigan Ave
City Chicago
State Illinois (IL)
Post Code 606017506
Phone Number 3129384327
Fax Number 3129380490

Provider's Primary Taxonomy Detail

Speciality Otology & Neurotology
Taxonomy 207Yx0901X
Licence No 036-038421
Definition:
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiolog

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1604366 IL BLUE CROSS

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FAQs about Jack D Clemis

What is the unique identification code assigned to Jack D Clemis by the Centers for Medicare & Medicaid Services?

The Jack D Clemis has been issued the NPI (National Provider Identifier) 1740272483. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jack D Clemis?

The Jack D Clemis is physically situated at 151 N Michigan Ave, in the city of Chicago, state of IL, with the postal code 606017506.

What is Jack D Clemis's area of expertise and its corresponding taxonomy classification?

The Jack D Clemis's field of specialization is Otology & Neurotology, and it falls under the taxonomy code 207Yx0901X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740272483 to Jack D Clemis?

The Centers for Medicare & Medicaid Services originally issued the 1740272483 to Jack D Clemis on 2005-08-18.

As of what date was the information pertaining to Jack D Clemis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jack D Clemis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-02-13.

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