IndividualActive
Clyde Whiting, M.D.
NPI 1073883203 · Sports Medicine (Family Medicine) Physician · Chicago, IL
Provider details
- NPI number
- 1073883203
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036129320 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1501 S California Ave
Chicago, IL 60608-1732
Phone: (773) 257-6097
Approximate (ZIP-level) locationGet directions
Mailing address
8336 S Hermitage Ave
Chicago, IL 60620-4629
Registry dates
- Enumerated
- 2012-01-04
- Last updated
- 2012-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.