Individual
JIM I MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 N GREENLEAF ST, SUITE 100, GURNEE, IL 60031-3393
(847) 244-7223
(847) 244-7247
Mailing address
135 N GREENLEAF ST, SUITE 100, GURNEE, IL 60031-3393
(847) 244-7223
(847) 244-7247
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4915203
BC/BS OF ILLINOIS PROVIDE
IL
01
—
CE6009
RAILROAD MEDICARE
IL
Enumeration date
09/27/2006
Last updated
07/09/2007
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