Active NPI
Gary J. Clyman, L.AC.
- Acupuncturist
- Cicero, IL
National Provider Identifier
1639718737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Practice address
- 5623 W Cermak Rd
Cicero, IL 60804-2220 - Phone
- (708) 863-1001
- NPI assigned
- Jan 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
5623 W Cermak Rd
Cicero, IL 60804-2220
Mailing address
16816 Riverside Dr FL 1
Tinley Park, IL 60477-2886
Phone (312) 446-8218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46-4032809 | Other | IL | GOVERNMENT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.yahoo.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1639718737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16816 RIVERSIDE DR FL 1",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604772886",
"telephone_number": "312-446-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5623 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042220",
"telephone_number": "708-863-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLYMAN",
"first_name": "GARY",
"middle_name": "J.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOVERNMENT",
"identifier": "46-4032809",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.yahoo.com",
"affiliation": "N",
"address_1": "5623 W Cermak Rd",
"city": "Cicero",
"state": "IL",
"country_code": "US",
"postal_code": "608042220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.