Individual
MR. HARRY LEWIS MCCLAIN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 W 19TH ST, CHICAGO, IL 60608-2647
(312) 678-0677
Mailing address
1905 W 19TH ST, CHICAGO, IL 60608-2647
(312) 678-0677
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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