Individual
CLINTON DONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16278 PRINCE DR, SOUTH HOLLAND, IL 60473-3233
(708) 754-8815
(708) 798-1315
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
(708) 444-1012
(708) 614-7831
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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