Daniel L Clark Do Ltd in Lockport - Family Medicine
Daniel L Clark Do Ltd - NPI 1093893117
Daniel L Clark Do Ltd is a Family Medicine in Lockport, Illinois. Daniel L Clark Do Ltd practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Daniel L Clark Do Ltd is 1093893117. The last update date is 2020-08-22.
Daniel L Clark Do Ltd's current location address is 14831 W 159th St, Lockport, Illinois. You can contact this provider via phone number 8158380052 and fax number 8158384410. The mailing address for Daniel L Clark Do Ltd is 14831 W 159th St, Lockport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Daniel L Clark Do Ltd |
|---|---|
| Address | 14831 W 159th St, Lockport, Illinois |
| Phone Number | 8158380052 |
| Fax Number | 8158384410 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Clark Lee Daniel |
| Credentials | DO |
| Telephone Number | 8158380052 |
NPI Number Detail
| NPI Number | 1093893117 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 14831 W 159th St |
|---|---|
| City | Lockport |
| State | Illinois (IL) |
| Post Code | 60491 |
| Phone Number | 8158380052 |
| Fax Number | 8158384410 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36071157 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 991512865 | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Daniel L Clark Do Ltd by the Centers for Medicare & Medicaid Services?
The Daniel L Clark Do Ltd has been assigned the NPI (National Provider Identifier) 1093893117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Daniel L Clark Do Ltd is physically located?
The Daniel L Clark Do Ltd is situated at the following address: 14831 W 159Th St, Lockport, IL 60491.
What is Daniel L Clark Do Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Daniel L Clark Do Ltd is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When did the Daniel L Clark Do Ltd receive its 1093893117?
The Daniel L Clark Do Ltd was issued its 1093893117 on 2006-11-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Daniel L Clark Do Ltd last refreshed?
The information related to the Daniel L Clark Do Ltd, including its address, specialty, and other relevant details, was last updated on 2020-08-22.