Michael Clark, MD

NPI #1033185434 in Maywood, Illinois

Provider Information

NPI Number: 1033185434
Entity Type: Individual
Name: Michael Clark, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Feb 24, 2006
Last Updated: Jun 24, 2021

Practice Location

Address: 2160 S 1ST AVE
Address 2: 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
City: Maywood
State: Illinois
ZIP Code: 60153
Phone: (708) 216-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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