PATRICIA CLARK MD LLC

HOMER GLEN, IL
NPI1134477169
Entity TypeOrganization
Authorized ContactPATRICIA L CLARK
President
708-460-9833
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  03611578)
Enumeration Date2012-08-23
Last Update Date2012-08-23
Business Address
PATRICIA CLARK MD LLC
12701 W 143RD ST
HOMER GLEN, IL 60491-7715
Phone number: 815-846-3358
Mailing Address
PATRICIA CLARK MD LLC
PO BOX 379
ORLAND PARK, IL 60462-0379
Phone number: 708-460-9833
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