Organization
METRO CHEST PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFTON CLARKE M.D. (OWNER)
(847) 590-1500
Entity
Organization
Contact information
Practice address
1655 N ARLINGTON HEIGHTS RD, SUITE 203E, ARLINGTON HEIGHTS, IL 60004-3982
(847) 590-1500
(847) 590-1502
Mailing address
PO BOX 15416, CHICAGO, IL 60615-5144
(847) 590-1500
(847) 590-1502
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036076766
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076766
—
IL
Enumeration date
09/21/2010
Last updated
09/21/2010
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