Waverly B Clanton, MD | |
1357 W 103rd St, Chicago, IL 60643-2392 | |
(773) 238-0800 | |
Not Available |
Full Name | Waverly B Clanton |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 42 Years |
Location | 1357 W 103rd St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184706756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036068032 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Home Health Care Serv | Lombard, IL | Home health agency |
Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
Advocate Trinity Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Waverly B Clanton, MD 1357 W 103rd St, Chicago, IL 60643-2392 Ph: (773) 238-0800 | Waverly B Clanton, MD 1357 W 103rd St, Chicago, IL 60643-2392 Ph: (773) 238-0800 |
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