William M Clark is a Psychiatry in Chicago, Illinois. William M Clark practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for William M Clark is 1578574000. The last update date is 2010-07-13.
William M Clark's current location address is 737 N Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3123737300 and fax number 3125731249. The mailing address for William M Clark is 737 N Michigan Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William M Clark |
|---|---|
| Address | 737 N Michigan Ave, Chicago, Illinois |
| Phone Number | 3123737300 |
| Fax Number | 3125731249 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578574000 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2010-07-13 |
Provider Mailing Address Detail
| Address | 737 N Michigan Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60611 |
| Phone Number | 3123737300 |
| Fax Number | 3125731249 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 336 040184 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1615704 | IL | BLUE CROSS | |
| 260041526 | IL | RAILROAD | |
| 360770 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to William M Clark?
The William M Clark has been issued the NPI (National Provider Identifier) 1578574000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the William M Clark located?
The William M Clark is located at 737 N Michigan Ave, Chicago, IL 60611.
What is William M Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The William M Clark's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did the William M Clark receive its 1578574000 assignment from the Centers for Medicare & Medicaid Services?
The William M Clark was assigned its 1578574000 by the Centers for Medicare & Medicaid Services on 2006-08-10.
As of what date were the William M Clark's details last updated?
The information pertaining to the William M Clark, including its address, specialty, and other details, was most recently updated on 2010-07-13.
NPI Number: 1407858566
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