ANDREA SUE CLEM DO NPI 1770541369

NPI Information

NPI: 1770541369
Provider Name: ANDREA SUE CLEM, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
5404 W ELM ST
SUITE Q
MCHENRY, IL
ZIP 60050
Phone: (815) 344-0020
Get Directions

Andrea Sue Clem, DO is a family medicine in Mchenry, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Andrea Sue Clem, DO NPI is 1770541369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5404 W ELM ST
SUITE Q
MCHENRY, IL
ZIP 60050-052
Phone: (815) 344-0020
Fax: (815) 344-0076

The enumeration date for this NPI number is 5/3/2006 and was last updated on 7/25/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		34007131C	OHIO	No
2	207Q00000X	Family Medicine		036123085	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H16982	MEDICARE UPIN
2	2184372	MEDICAID	OHIO
3	000000201819	OTHER		ANTHEM
4	CL4022532	MEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »