Todd Clark, MEDICAL DOCTOR

NPI #1073504767 in Park Ridge, Illinois

Provider Information

NPI Number: 1073504767
Entity Type: Individual
Name: Todd Clark, MEDICAL DOCTOR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MEDICAL DOCTOR
Enumeration Date: Nov 2, 2005
Last Updated: Sep 19, 2022

Practice Location

Address: 1775 W DEMPSTER ST
Address 2: 1 WEST
City: Park Ridge
State: Illinois
ZIP Code: 60068-1143
Phone: (847) 723-5150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X

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