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Organization
MCCLAIN DIAGNOSTIC CO
Active
Organization
MCCLAIN DIAGNOSTIC CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY LEWIS MCCLAIN IV (PRESIDENT/VASCULAR TECHNOLOGIST)
(312) 678-0677
Entity
Organization
Contact information
Practice address
2343 S SPRINGFIELD AVE # 2, CHICAGO, IL 60623-3047
(312) 678-0512
Mailing address
2343 S SPRINGFIELD AVE # 2, CHICAGO, IL 60623-3047
(312) 678-0677
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
NULL
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
02/27/2022
Last updated
02/27/2022
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