Individual
GREGORY E CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
775 ENGINEERING AVENUE, SPRINGFIELD, IL 62703
(217) 522-4300
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
036-083426
IL
Other
Enumeration date
10/02/2006
Last updated
12/09/2008
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