Theodora Elise Mcclain is a student in an organized health care education training program in Berwyn, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Theodora Elise Mcclain NPI is 1467893768. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
6918 WINDSOR AVE
BERWYN, IL
ZIP 60402-334
Phone: (708) 745-5277
Fax: (708) 795-4834
The NPI 1467893768 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 7/15/2013 and was last updated on 7/15/2013.