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1184706756
WAVERLY B CLANTON
CHICAGO, IL
NPI
1184706756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036068032)
Enumeration Date
2006-10-20
Last Update Date
2022-04-20
Business Address
WAVERLY B CLANTON M.D.
1357 W 103RD ST
CHICAGO, IL 60643-2392
Phone number: 773-238-0800
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Mailing Address
WAVERLY B CLANTON M.D.
1357 W 103RD ST
CHICAGO, IL 60643-2392
Phone number: 773-238-0800
Copy
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