Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK D CLEMIS, M.D.
DeactivatedOtolaryngic Allergy · CHICAGO, IL
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1740272483
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (0.58904109589041 yrs)
- Last Updated
- Feb 13, 2013
- Deactivated
- Mar 21, 2006
- License
-
036-038421 (IL)
Practice Information
- Address
-
151 N MICHIGAN AVE#914CHICAGO, IL, 606017506Browse IL providers · Browse ZIP 60601
- Phone
- 3129384327
- Fax
- 3129380490
- Primary Specialty
-
Otolaryngic Allergy
207YX0901X
Other Otolaryngic Allergy Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ELIAS M MICHAELIDES | M. D. | 1043248503 |
| ALAN MICCO | MD | 1861426223 |
| DR. HEATHER MAUREEN WEINREICH | MD | 1760657381 |
| TERENCE IMBERY | — | 1609134063 |
| KEVIN ZHAN | MD | 1235583691 |
| ROBIN A RICE | MD | 1053991174 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.