SUE CLARK

PEORIA, IL
NPI1174597371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: IL  036093117)
Enumeration Date2006-02-14
Last Update Date2007-07-09
Business Address
-- SUE CLARK MD
507 E ARMSTRONG AVE REGIONAL DEVELOPMENT CENTER
PEORIA, IL 61603-3201
Phone number: 309-681-6960
Mailing Address
-- SUE CLARK MD
1 ILLINI DR
PEORIA, IL 61605-2576
Phone number: 309-671-8503