CHARLES CLARK

AURORA, IL
NPI1245226141
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-008359)
Enumeration Date2005-09-26
Last Update Date2016-12-07
Business Address
CHARLES CLARK P.T.
1900 OGDEN AVE
AURORA, IL 60504-4273
Phone number: 630-978-6218
Mailing Address
CHARLES CLARK P.T.
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223