Individual
ELPIDIO CLEMENTE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 926-8369
(312) 926-8341
Mailing address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 926-8369
(312) 926-8341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041521509
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209030774
IL
Other
Enumeration date
07/24/2023
Last updated
12/04/2024
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