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1740760149
MICHAEL MCCLELLAN
BARTLETT, IL
NPI
1740760149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085006697)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
MICHAEL MCCLELLAN
1110 W SCHICK RD
BARTLETT, IL 60103-3007
Phone number: 630-372-1100
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Mailing Address
MICHAEL MCCLELLAN
1 WHEATON CTR APT 1507
WHEATON, IL 60187-2314
Phone number:
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