Clem, Andrea Sue

Clem, Andrea Sue is an individual health care provider with primary practice located at 5404 W Elm St Suite Q, Mchenry IL 60050-4052. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clem, Andrea Sue can be contacted via phone (815) 344-0020.

Contact Information

Primary practice address
5404 W Elm St Suite Q Mchenry IL 60050-4052
Phone: (815) 344-0020
Fax: (815) 344-0076
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34007131C Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036123085 Illinois

Profile Details

NPI number 1770541369
LBN Legal business name Clem, Andrea Sue
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 25th, 2010 - about 14 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 1770541369 NPPES
Ohio MEDICAID 2184372
Ohio Other 000000201819

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