Individual
GARY J. CLYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
5623 W CERMAK RD, CICERO, IL 60804-2220
(708) 863-1001
Mailing address
16816 RIVERSIDE DR FL 1, TINLEY PARK, IL 60477-2886
(312) 446-8218
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-4032809
GOVERNMENT
IL
Enumeration date
01/06/2020
Last updated
01/06/2020
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