DANIEL L CLARK DO LTD

LOCKPORT, IL
NPI1093893117
Entity TypeOrganization
Authorized ContactDANIEL LEE CLARK
President
815-838-0052
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036071157)
Enumeration Date2006-11-02
Last Update Date2020-08-22
Business Address
DANIEL L CLARK DO LTD
14831 W 159TH ST HARRIS BANK BUILDING
LOCKPORT, IL 60491
Phone number: 815-838-0052
Mailing Address
DANIEL L CLARK DO LTD
14831 W 159TH ST HARRIS BANK BUILDING
LOCKPORT, IL 60491
Phone number: 815-838-0052
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