Organization
JACK D. CLEMIS, MD SC
Active
Other names
Jack D. Clemis, MD SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK D CLEMIS MD (PHYSICIAN)
(312) 938-4327
Entity
Organization
Contact information
Practice address
151 N MICHIGAN AVE, SUITE 914, CHICAGO, IL 60601-7506
(312) 938-4327
(312) 938-0490
Mailing address
151 N MICHIGAN AVE, SUITE 914, CHICAGO, IL 60601-7506
(312) 938-4327
(312) 938-0490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036038421
IL
Other
Enumeration date
02/14/2007
Last updated
02/07/2013
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