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Individual

RONALD JOSEPH CLEMENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1015 W WISE RD, STE 101, SCHAUMBURG, IL 60193-3777
(847) 352-0200
(847) 352-0600
Mailing address
1015 W WISE RD, STE 101, SCHAUMBURG, IL 60193-3777
(847) 352-0200
(847) 352-0600

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016002780
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0060000949
BCBS
IL
01
480028503
RAILROAD MEDICARE
IL
Enumeration date
06/22/2006
Last updated
03/06/2012
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