Clyman, Gary J.

Clyman, Gary J. is an sole proprietor health care provider with primary practice located at 5623 W Cermak Rd , Cicero IL 60804-2220. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Clyman, Gary J. can be contacted via phone (708) 863-1001.

Contact Information

Primary practice address
5623 W Cermak Rd Cicero IL 60804-2220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X

Profile Details

NPI number 1639718737
LBN Legal business name Clyman, Gary J.
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2020
Last updated Jan 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639718737 NPPES
Illinois Other 46-4032809 GOVERNMENT

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