Clancy, James P

Clancy, James P is an sole proprietor health care provider with primary practice located at 2306 W. Touhy Avenue , Chicago IL 60645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clancy, James P can be contacted via phone (773) 262-7000.

Contact Information

Primary practice address
2306 W. Touhy Avenue Chicago IL 60645
Phone: (773) 262-7000
Fax: (773) 262-7002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036096295 Illinois

Profile Details

NPI number 1538162102
LBN Legal business name Clancy, James P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538162102 NPPES
Illinois MEDICAID 036096295

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