Provider Demographics
NPI:1609808518
Name:MCNAIR, HOWARD K (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:K
Last Name:MCNAIR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2301 E 93RD ST
Mailing Address - Street 2:2ND FL
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-3913
Mailing Address - Country:US
Mailing Address - Phone:773-356-8251
Mailing Address - Fax:773-933-8722
Practice Address - Street 1:2301 E 93RD ST
Practice Address - Street 2:2ND FL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-3913
Practice Address - Country:US
Practice Address - Phone:773-356-8251
Practice Address - Fax:773-933-8722
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036109936207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036109936Medicaid
ILIL5686Medicare PIN
ILI06082Medicare UPIN
ILK39823Medicare PIN