Individual
MR. JOHN C CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 924, CHICAGO, IL 60611-4546
(312) 475-5646
Mailing address
680 N LAKE SHORE DR, SUITE 924, CHICAGO, IL 60611-4546
(312) 475-5646
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-004413
IL
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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