Active NPI
Claudette Marie Macklin, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1730365586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-091906
- Practice address
- 1701 W Monterey Ave
Suite 4
Chicago, IL 60643-4257 - Phone
- (773) 298-9800
- Fax
- (773) 298-9901
- NPI assigned
- Jan 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-091906 | IL | Primary |
Addresses
Primary practice location
1701 W Monterey Ave
Suite 4
Chicago, IL 60643-4257
Mailing address
P.O. Box 2173
Bedford Park, IL 60499-2173
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-091906 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSMC Investors, LLC | Past | Accepting new patients | |
| Blue Island Clinic Company LLC | Internal Medicine | Past | Accepting new patients |
| MSMC Investors LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Blue Island, IL
- NPI 1609148139
-
- General Acute Care Hospital
- Blue Island, IL
- NPI 1376703215
-
- Family Medicine Physician
- Blue Island, IL
- NPI 1225286412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1730365586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2173",
"city": "BEDFORD PARK",
"state": "IL",
"postal_code": "604992173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W MONTEREY AVE",
"address_2": "SUITE 4",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434257",
"telephone_number": "773-298-9800",
"fax_number": "773-298-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLIN",
"first_name": "CLAUDETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-091906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.