KASANDRIA CLARK

CHICAGO, IL
NPI1801538251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036172412)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-07
Last Update Date2025-06-09
Business Address
Dr. KASANDRIA CLARK MD
1555 W HOWARD ST
CHICAGO, IL 60626-1707
Phone number: 773-764-7146
Mailing Address
Dr. KASANDRIA CLARK MD
4104 N WESTERN AVE APT 3N
CHICAGO, IL 60618-2848
Phone number: 618-558-4233