Individual
STACY L MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5201 WILLOW SPRINGS RD, SUITE 430, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 482-3213
(708) 482-3230
Mailing address
5201 WILLOW SPRINGS RD, SUITE 430, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 482-3213
(708) 482-3230
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036
IL
207R00000X
Internal Medicine Physician
036
IL
Other
Enumeration date
07/28/2006
Last updated
09/17/2012
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