THEODORE R CLARK

NORTH CHICAGO, IL
NPI1568233260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  533773)
Enumeration Date2024-01-11
Last Update Date2024-01-11
Business Address
Mr. THEODORE R CLARK
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number: 847-688-1900
Mailing Address
Mr. THEODORE R CLARK
17597 W HORSESHOE LN
GURNEE, IL 60031-4231
Phone number: 919-634-1902
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