Patricia Clark MD LLC
NPI #1134477169 in Homer Glen, Illinois
Provider Information
- NPI Number
- 1134477169
- Entity Type
- Organization
- Organization Name
- Patricia Clark MD LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Aug 23, 2012
- Last Updated
- Aug 23, 2012
Practice Location
- Address
- 12701 W 143RD ST
- City
- Homer Glen
- State
- Illinois
- ZIP Code
- 60491-7715
- Phone
- (815) 846-3358
Authorized Official
- Name
- DR. PATRICIA L CLARK, M.D.
- Title
- PRESIDENT
- Phone
- (708) 460-9833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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