Charles Clevenger, MD

NPI #1598728933 in Chicago, Illinois

Provider Information

NPI Number: 1598728933
Entity Type: Individual
Name: Charles Clevenger, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pathology - Cytopathology
Credential: MD
Enumeration Date: Apr 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 680 N LAKE SHORE DR
Address 2: SUITE 1000
City: Chicago
State: Illinois
ZIP Code: 60611-4546
Phone: (312) 695-9797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Cytopathology — Cytopathology	207ZC0500X	Primary

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