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Organization

CLAYMORE MEDICAL GROUP SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN S LEVENTIS MD (PRESIDENT)
(847) 223-4446
Entity
Organization

Contact information

Practice address
1170 E BELVIDERE RD, SUITE 207, GRAYSLAKE, IL 60030-2061
(847) 223-4446
(847) 223-4944
Mailing address
1170 E BELVIDERE RD, SUITE 207, GRAYSLAKE, IL 60030-2061
(847) 223-4446
(847) 223-4944

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
10/21/2005
Last updated
08/22/2020
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