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CLINTON J MCCOY
NPI 1861242844
Counselor - Addiction (Substance Use Disorder) in Chicago, IL

Active since March 25, 2024
10644 S FOREST AVE, CHICAGO, IL 60628(708) 864-1666 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Clinton J Mccoy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON J MCCOY (NPI 1861242844) is an individual addiction (substance use disorder) provider in Chicago, Illinois and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1861242844
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCLINTON J MCCOY
Location Address10644 S FOREST AVEChicago, IL 60628-2845
Mailing Address10644 S Forest AveChicago, IL 60628-2845
Phone(708) 864-1666
Sole ProprietorYes
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 24, 2024
✔ NPI 1861242844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
10644 S FOREST AVE, Chicago, IL 60628
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Mccoy's NPI number?

The NPI number for Clinton Mccoy is 1861242844. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Clinton Mccoy located?

Clinton Mccoy practices at 10644 S Forest Ave, Chicago, IL 60628. The listed phone number is (708) 864-1666.

What is Clinton Mccoy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Clinton Mccoy was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.