Individual
DR. IAN ROBERT MACUMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PARKWAY, CHICAGO, IL 60612
(978) 846-1443
Mailing address
607 W WRIGHTWOOD AVE, APT 215, CHICAGO, IL 60614-2542
(978) 846-1443
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125-056527
IL
Other
Enumeration date
06/17/2009
Last updated
07/20/2015
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