Individual
DR. CLAUDETTE MARIE MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 W MONTEREY AVE, SUITE 4, CHICAGO, IL 60643-4257
(773) 298-9800
(773) 298-9901
Mailing address
P.O. BOX 2173, BEDFORD PARK, IL 60499-2173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-091906
IL
Other
Enumeration date
01/10/2008
Last updated
06/29/2009
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