Individual
MICHAEL MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 W SCHICK RD, BARTLETT, IL 60103-3007
(630) 372-1100
Mailing address
1 WHEATON CTR APT 1507, WHEATON, IL 60187-2314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006697
IL
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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