Clark Anderson

NPI #1447783063 in Flossmoor, Illinois

Provider Information

NPI Number: 1447783063
Entity Type: Individual
Name: Clark Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Apr 10, 2017
Last Updated: Apr 10, 2017

Practice Location

Address: 19010 AVERS AVE
City: Flossmoor
State: Illinois
ZIP Code: 60422-1017
Phone: (708) 574-0728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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