Most Relevant Information
Provider Data
| NPI Number: | 1003220336 |
| Provider Name: | GINGER YVONNE CLINTON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2014 |
| Last Updated: | 07/29/2022 |
Provider Practice Location
17800 KEDZIE AVE
HAZEL CREST
IL
604292029
Practice Location Phone/Fax
| Phone: | 7082134200 |
| Fax: |
Provider Mailing Location
29373 NETWORK PL
CHICAGO
IL
606731293
Provider Mailing Phone/Fax
| Phone: | 8473905900 |
| Fax: |