Daniel L Clark Do Ltd

NPI #1093893117 in Lockport, Illinois

Provider Information

NPI Number: 1093893117
Entity Type: Organization
Organization Name: Daniel L Clark Do Ltd
Primary Specialty: Family Medicine
Enumeration Date: Nov 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 14831 W 159TH ST
Address 2: HARRIS BANK BUILDING
City: Lockport
State: Illinois
ZIP Code: 60491
Phone: (815) 838-0052

Authorized Official

Name: DR. DANIEL LEE CLARK, DO
Title: PRESIDENT
Phone: (815) 838-0052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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