Nancy S Clark in Lake Forest - Emergency Medical Services
Nancy S Clark - NPI 1538145479
Nancy S Clark is a Emergency Medical Services in Lake Forest, Illinois. Nancy S Clark practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Nancy S Clark is 1538145479. The last update date is 2007-07-08.
Nancy S Clark's current location address is 660 N Westmoreland Rd, Lake Forest, Illinois. You can contact this provider via phone number 8475357917 and fax number 8475357801. The mailing address for Nancy S Clark is 660 N Westmoreland Rd, Lake Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nancy S Clark |
|---|---|
| Address | 660 N Westmoreland Rd, Lake Forest, Illinois |
| Phone Number | 8475357917 |
| Fax Number | 8475357801 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538145479 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 660 N Westmoreland Rd |
|---|---|
| City | Lake Forest |
| State | Illinois (IL) |
| Post Code | 600451659 |
| Phone Number | 8475357917 |
| Fax Number | 8475357801 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 36061363 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36061363 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Nancy S Clark?
The Nancy S Clark has been issued the NPI (National Provider Identifier) 1538145479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Nancy S Clark is physically located?
The Nancy S Clark is physically situated at the following address: 660 N Westmoreland Rd, Lake Forest, IL, 600451659.
What is Nancy S Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Nancy S Clark is Emergency Medical Services, and the corresponding taxonomy classification code for this specialized field is 207Pe0004X.
On what date did the Nancy S Clark receive the assignment of its 1538145479 from the Centers for Medicare & Medicaid Services?
The Nancy S Clark was issued its 1538145479 by the Centers for Medicare & Medicaid Services on 2005-12-22.
When was the Nancy S Clark's information last updated?
The Nancy S Clark's information was last updated on 2007-07-08.