Jack D. Clemis, MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036038421 Issued in IL

Legal business name

JACK D. CLEMIS, MD SC

Practice address

151 N Michigan Ave
Suite 914
Chicago, IL 60601-7506

Phone

(312) 938-4327

Fax

(312) 938-0490

NPI assigned

Feb 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jack D Clemis, MD

Title

Physician

Phone

(312) 938-4327

Specialties & licenses 1

Addresses

Other names 1

• Jack D. Clemis, MD SC Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ning Jing, M.A., CCC-A

  • Audiologist
  • Naperville, IL
  • NPI 1386624724
  NPD (past)
• Amanda Beth Teuscher, AU.D.

  • Audiologist
  • Chicago, IL
  • NPI 1639339195
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1851434658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N MICHIGAN AVE",
            "address_2": "SUITE 914",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017506",
            "telephone_number": "312-938-4327",
            "fax_number": "312-938-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MICHIGAN AVE",
            "address_2": "SUITE 914",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017506",
            "telephone_number": "312-938-4327",
            "fax_number": "312-938-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK D. CLEMIS, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "CLEMIS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "312-938-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036038421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jack D. Clemis, MD SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ayman M Jabr, MD
• Cynthia Jacinthe, APN, PMHNP-BC, CNM
• Jack and Jill Therapy Enterprises Inc
• Jack C Leong MD SC
• Jack C. Leong MD SC
• Jack M Bulmash MDSC
• Jack S. Litz, D.D.S., LTD.
• Jack Shaw Superior Eye Care
• Jack Zoldan, MD LTD
• Marcus Jack

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.