Individual
MR. CLINTON CHINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
200 E 89TH AVE STE 2A, MERRILLVILLE, IN 46410-7319
(219) 736-2800
Mailing address
200 E 89TH AVE STE 2A, MERRILLVILLE, IN 46410-7319
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11180023
IN
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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