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DR. JACK D CLEMIS M.D. NPI 1740272483


NPI Information

NPI: 1740272483
Provider Name: DR. JACK D CLEMIS, M.D.
Classification: Otolaryngology - 207YX0901X
Entity Type: Individual

Specialization: Otology & Neurotology

Address:
151 N MICHIGAN AVE
#914
CHICAGO, IL
ZIP 60601
Phone: (312) 938-4327
Get Directions

DR. Jack D Clemis, M.D. is an otology and neurotology otolaryngology in Chicago, IL. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. DR. Jack D Clemis, M.D. NPI is 1740272483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

151 N MICHIGAN AVE
#914
CHICAGO, IL
ZIP 60601-506
Phone: (312) 938-4327
Fax: (312) 938-0490

The enumeration date for this NPI number is 8/18/2005 and was last updated on 2/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YX0901XOtolaryngologyOtology & Neurotology036-038421ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11604366OTHERILLINOISBLUE CROSS
2K37444MEDICARE PIN
3C40343MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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