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Search › Illinois › 207P00000X

Todd Clark, MEDICAL DOCTOR

NPI 1073504767 · on the registry since 2005

Practice

Address
1775 W Dempster St
1 West
Park Ridge, IL 60068
Phone
(847) 723-5150
Fax
(847) 723-2083
Organisation at this address
Walgreen Co
Advocate Health Care
Lutheran General Hospital
Midwest Anesthesia Partners, Ltd
Advocate Lutheran General Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
59

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207P00000X
207PE0004X
207PE0004X
Licence states on file
CA, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois