Individual
MR. MIKE CLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 BAKEWELL LN, NAPERVILLE, IL 60565-1637
(630) 399-6137
(630) 548-2357
Mailing address
811 BAKEWELL LN, NAPERVILLE, IL 60565-1637
(630) 399-6137
(630) 548-2357
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20214471313001
—
IL
Enumeration date
07/26/2006
Last updated
07/08/2007
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