# MARCIE A. CLAYBON MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bian Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114524485
- **Authorized official:** DR. MARCIE ANN CLAYBON MD (PHYSICIAN, MEDICAL DIRECTOR)
- **Authorized official phone:** (513) 280-0088

## Contact information

- **Practice address:** 600 W. CHICAGO AVE., SUITE 001, CHICAGO, IL 60654
- **Practice address phone:** (312) 625-0845
- **Mailing address:** 805 N. LASALLE DRIVE, APARTMENT 1204, CHICAGO, IL 60610
- **Mailing address phone:** (513) 280-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2020
- **Last updated:** 10/08/2020