Provider Demographics
NPI:1679826275
Name:MCCLURE, CHRISTOPHER DUKE (HAS)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DUKE
Last Name:MCCLURE
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N COMMONS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7940
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:630-303-5385
Practice Address - Street 1:1000 PALM COAST PKWY SW STE 109
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4747
Practice Address - Country:US
Practice Address - Phone:386-447-3530
Practice Address - Fax:386-447-3633
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS 4823237700000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist