| NPI | 1851434658 |
|---|---|
| Former Legal Business Name | JACK D. CLEMIS, MD SC |
| Entity Type | Organization |
| Authorized Contact | JACK D CLEMIS Physician 312-938-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036038421) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2013-02-07 |