KASANDRIA CLARK

PARK RIDGE, IL
NPI1801538251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  125080964)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-07
Last Update Date2022-06-21
Business Address
Dr. KASANDRIA CLARK MD
1675 DEMPSTER ST
PARK RIDGE, IL 60068-1110
Phone number: 847-318-9300
Mailing Address
Dr. KASANDRIA CLARK MD
1675 DEMPSTER ST
PARK RIDGE, IL 60068-1110
Phone number: 847-318-9300