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Contact Information

JACK D CLEMIS, MD
151 N MICHIGAN AVE
#914
CHICAGO, IL60601-7506
 Phone: 312-938-4327
 Fax: 312-938-0490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JACK D CLEMIS · (Male)

NPI # 1740272483
Status Active
Credentials MD
Entity Individual
Enumeration date 08/18/2005
Last updated 02/13/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-038421
  • IL Other 1604366 BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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