MEDICARE: MR. HARRY LEWIS MCCLAIN IV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2471V0105X	Vascular Sonography Radiologic Technologist

General Provider Information

NPI Number	:	1881354678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HARRY LEWIS MCCLAIN IV

Provider Business Mailing Address
First Line	:	1905 W 19TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-2647
Country	:	US
Telephone Number	:	312-678-0677
Fax Number	:

Provider Business Practice Location Address
First Line	:	1905 W 19TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-2647
Country	:	US
Telephone Number	:	312-678-0677
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2021
Last Update Date	:	12/21/2021

Similar Medicare Providers

1184759219 — MRS. PATRICIA A VINAJA P.T.
Practice Location Address:

1951 W 19TH ST
CHICAGO, IL
60608-2647

Practice Phone: 312-997-2021
Practice Fax:

1134254840 — CECILIA HORODYSKI PT
Practice Location Address:

1951 W 19TH ST
CHICAGO, IL
60608-2647

Practice Phone: 312-997-2021
Practice Fax:

1407077969 — EL VALOR CORPORATION
Practice Location Address:

1951 W 19TH ST
CHICAGO, IL
60608-2647

Practice Phone: 312-997-2021
Practice Fax: 312-432-9849

1417572181 — DR. AMY JO EIERMANN PH.D., NCSP
Practice Location Address:

1913 W 19TH ST UNIT 3
CHICAGO, IL
60608-2647

Practice Phone: 231-534-4341
Practice Fax:

1427657063 — SUNDIS I ISLEFO PHARMACIST
Practice Location Address:

2647 W RASCHER AVE APT 2W
CHICAGO, IL
60625-3106

Practice Phone: 773-556-8331
Practice Fax:

1629721816 — KILPATRICK RENAISSANCE
Practice Location Address:

4655 W BERTEAU AVE
CHICAGO, IL
60641-2647

Practice Phone: 773-645-8900
Practice Fax:

Directions to “ MR. HARRY LEWIS MCCLAIN IV ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.