Search › Illinois › 101YA0400X
Clinton Mccoy
NPI 1861242844 · on the registry since 2024 · sole proprietor
Practice
- Address
- 10644 S Forest Ave
Chicago, IL 60628 - Phone
- (708) 864-1666
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois