Concetta M Clark, M.A.

NPI #1770809659 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1770809659
Entity Type: Individual
Name: Concetta M Clark, M.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: M.A.
Enumeration Date: Apr 16, 2010
Last Updated: Apr 16, 2010

Practice Location

Address: 426 ROOSEVELT RD
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-5611
Phone: (630) 469-6061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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