Individual
JAMES P CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2306 W. TOUHY AVENUE, CHICAGO, IL 60645
(773) 262-7000
(773) 262-7002
Mailing address
2306 W. TOUHY AVENUE, CHICAGO, IL 60645
(773) 262-7000
(773) 262-7002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036096295
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096295
—
IL
Enumeration date
05/27/2005
Last updated
07/08/2007
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