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1205064011
LAUREL MAXYNE CLARK
CHICAGO, IL
NPI
1205064011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 125.056468)
Enumeration Date
2009-06-30
Last Update Date
2013-01-11
Business Address
Dr. LAUREL MAXYNE CLARK M.D.
1653 W CONGRESS PKWY
CHICAGO, IL 60612-3833
Phone number: 312-942-5495
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Mailing Address
Dr. LAUREL MAXYNE CLARK M.D.
6926 N LAKEWOOD AVE 2ND FLOOR
CHICAGO, IL 60626-3712
Phone number: 312-659-3625
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