DR. CLYDE WARREN YANCY JR.


Address: 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969
Phone: 3126643278

DR. CLYDE WARREN YANCY JR. (NPI# 1881707248) 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) 1881707248
Entity Type Individual
Full Name DR. CLYDE WARREN YANCY JR.
Credential M.D.
Practice Address 675 N Saint Clair St Ste 19-100
Chicago
IL 60611-5969
Mailing Address 676 N Saint Clair St Ste 600
Chicago
IL 60611-2981
Practice Telephone 3126643278
Practice Fax Number 3126955774
Mailing Telephone 3126950829
Mailing Fax Number 3126955774
Enumeration Date 2006-08-17
Last Update Date 2020-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036129012 IL Allopathic & Osteopathic Physicians
Y 207RA0001X Internal Medicine
Specialization: Advanced Heart Failure and Transplant Cardiology
036129012 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 8W0061 01

Office Location

Street Address 675 N SAINT CLAIR ST STE 19-100
City CHICAGO
State IL
Zip Code 60611-5969

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245866805 Selby Marie Cherian Registered Nurse 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 2020-03-16
1871054601 David Drullinsky Thoracic Surgery (Cardiothoracic Vascular Surgery) 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 2019-03-26
1720552482 Jenna Quill Mulroe Nurse Practitioner 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 2019-01-16
1134602071 Karina Hinton Nurse Practitioner 675 N Saint Clair St Ste 19-100, Chicago, IL 60611 2018-09-06
1154801819 Christin Lund Sogge Physician Assistant 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 2018-08-21
1780102251 Hannah Marie Toms Physician Assistant 675 N Saint Clair St Ste 19-100, Chicago, IL 60611 2017-09-06
1932622529 Hadi Toeg Thoracic Surgery (Cardiothoracic Vascular Surgery) 675 N Saint Clair St Ste 19-100, Chicago, IL 60611 2017-07-25
1285163881 Kathleen E. Casey Physician Assistant 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 2017-06-07
1033641279 Kerry Shanklin Nurse Practitioner 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 2017-03-28
1154724680 Jordin J Van De Hey Physician Assistant 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 2014-09-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1134735962 Kalvin Cheuk Hang Lung Student in an Organized Health Care Education/Training Program 675 N St Clair St 17th Floor, Chicago, IL 60611 2020-09-17
1487267845 Ashley Marie Sablich Student in an Organized Health Care Education/Training Program 250 E Huron Street, Suite 1-200, Chicago, IL 60611 2020-08-26
1245854033 Danielle Humphrey Student in an Organized Health Care Education/Training Program Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 2020-06-08
1801418074 Sana Healing Collective Clinic/Center 405 N. Wabash Street, Chicago, IL 60611 2020-05-11
1194359489 Insight:eating Disorders, Weight Management & Psychological Centers Psychiatric Hospital 1 E. Erie Street, 4th Floor, Chicago, IL 60611 2020-02-26
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1922643576 Sarah Elizabeth Schwartzer Audiologist Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 2019-11-07
1023668852 Anne Marguerite Davidson Student in an Organized Health Care Education/Training Program Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 2019-09-13
1871141085 Coast Management Durable Medical Equipment & Medical Supplies 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 2019-08-30
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Taxonomy Information

Taxonomy Code 207RA0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Advanced Heart Failure and Transplant Cardiology

Taxonomy Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275049876 Amanda Mcginnis Internal Medicine 4440 W 95th St Fl Street6, Oak Lawn, IL 60453-2600 2017-12-18
1750849675 Karlo Vincent Buenconsejo Benig Internal Medicine 4400 W. 95th Street, Opp 6th Floor, Oak Lawn, IL 60453-2654 2019-03-10
1881983575 Anjali Anil Joshi Internal Medicine 4400 W 95th St Ste 308, Oak Lawn, IL 60453-2660 2011-04-04

Competitor

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City CHICAGO
Zip Code 60611

Improve Information

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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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