GREGORY E CLEM


Address: 775 Engineering Avenue, Springfield, IL 62703
Phone: 2175224300

GREGORY E CLEM (NPI# 1407949993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407949993
Entity Type Individual
Full Name GREGORY E CLEM
Credential M.D.
Practice Address 775 Engineering Avenue
Springfield
IL 62703
Mailing Address 1025 S 6th St
Springfield
IL 62703-2403
Practice Telephone 2175224300
Mailing Telephone 2175287541
Enumeration Date 2006-10-02
Last Update Date 2008-12-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
036-083426 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 775 ENGINEERING AVENUE
City SPRINGFIELD
State IL
Zip Code 62703

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1790260917 Jessica Lynne Zeeck Behavior Technician 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 2018-10-03
1215415799 Bree Schmulbach Nurse Practitioner Bsb Room 20, Springfield, IL 62703 2018-08-06
1144712100 Fresenius Medical Care Springfield East, LLC Clinic/Center 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 2018-06-05
1558889170 Ji Woung Choi Dentist 687 E Linton Ave., Springfield, IL 62703 2017-09-04
1477006161 Encompass Home Health of The Midwest,llc Home Health 2970 Baker Dr, Springfield, IL 62703 2016-07-28
1851706824 Terah Louise Holland Obstetrics & Gynecology 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 2014-06-27
1578993101 Corey Moore Behavioral Analyst 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 2013-11-18
1134463052 The Center for Youth and Family Solutions Inc. Voluntary or Charitable 614 North Sixth Street, Springfield, IL 62703 2012-11-15
1447519111 Tenshi Furumi Specialist/Technologist One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 2012-05-15
1447558390 Shalini Mulkanoor Family Medicine 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 2011-03-02
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Taxonomy Information

Taxonomy Code 2083X0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Occupational Medicine

Taxonomy Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497970727 Norbert Thomas Belz Preventive Medicine 1423 N Jefferson Ave Ste K-500, Springfield, MO 65802-1917 2007-04-13
1346208741 Richard A Stevens Preventive Medicine 190 Fiberloid St Us Post, Assoc Area Medical Drive, Springfield, MA 01152-9402 2006-05-03
1821319260 Nisha Raja-rahman Preventive Medicine 775 Engineering Ave, Springfield, IL 62703-5909 2010-06-21
1275651523 Jasper N Wakeman Preventive Medicine 3000 E Division St, Springfield, MO 65802-2492 2007-03-26
1407922305 Kenneth M. Cardlin Preventive Medicine 2501 E High St, Springfield, OH 45505-1410 2006-11-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356816466 Taylor Nicole Rich Preventive Medicine 2408 Hampshire Dr Apt 2, Champaign, IL 61820-1215 2018-10-05
1720517568 Avrom Simon Preventive Medicine 128 S Aberdeen St Unit 5s, Chicago, IL 60607-1507 2017-06-06
1215332531 Cheryl Culberson Preventive Medicine 350 Surryse Rd Ste 110, Lake Zurich, IL 60047-3217 2014-10-29
1497018493 Brian Charles Svazas Preventive Medicine 211 Kenilworth Ave, Glen Ellyn, IL 60137-5324 2012-06-25
1205129764 Zbigniev Durlak Preventive Medicine 9930 Stratford L, Palos Hills, IL 60465 2011-05-17
1609168657 New Life Pentecostal Medical Clinic for The Uninsured Inc Preventive Medicine 183 N Schuyler Ave, Kankakee, IL 60901-3828 2011-05-10
1821305269 Daniel Alexander Bakston Preventive Medicine 835 S. Wolcott Ave E-144, University of Illinois Medical Center, Chicago, IL 60612-4006 2010-09-07
1194951913 Sonya Meyers Preventive Medicine 835 S Wolcott Ave # E144, Chicago, IL 60612-3748 2009-06-08
1073755021 Afiz A. Taiwo, Md. Mph. S.c. Preventive Medicine 309 Pinehurst Dr, Palos Heights, IL 60463-2911 2009-04-06
1104077494 William Dawson Preventive Medicine 700 Woodmere Ln, Glenview, IL 60025-4469 2008-10-04
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Competitor

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City SPRINGFIELD
Zip Code 62703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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