Mcclean, John W

Mcclean, John W is an individual health care provider with primary practice located at 834 N Seminary St Ste 502, Galesburg IL 61401-2852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Mcclean, John W can be contacted via phone (309) 343-2262.

Contact Information

Primary practice address
834 N Seminary St Ste 502 Galesburg IL 61401-2852
Phone: (309) 343-2262
Fax: (309) 343-2081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036059602 Illinois

Profile Details

NPI number 1548268204
LBN Legal business name Mcclean, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 18 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 1548268204 NPPES
Illinois Other 04823538 BCBS GROUP #
Illinois MEDICAID 036059602 BCBS GROUP #
Illinois Other IL0103 BCBS GROUP #
Illinois Other 039664 BCBS GROUP #
Illinois Other 340017813 BCBS GROUP #
Illinois Other 693762 BCBS GROUP #

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