Yancy, Clyde Warren

Yancy, Clyde Warren is an individual health care provider with primary practice located at 675 N Saint Clair St Ste 19-100 , Chicago IL 60611-5969. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Yancy, Clyde Warren can be contacted via phone (312) 664-3278.

Contact Information

Primary practice address
675 N Saint Clair St Ste 19-100 Chicago IL 60611-5969
Phone: (312) 664-3278
Fax: (312) 695-5774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036129012 Illinois
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 036129012 Illinois

Profile Details

NPI number 1881707248
LBN Legal business name Yancy, Clyde Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Feb 13th, 2020 - about 4 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 1881707248 NPPES
Texas Other 8W0061 BCBS

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