Steven J Clark in Mount Vernon - Plastic And Reconstructive Surgery
Steven J Clark - NPI 1154353720
Steven J Clark is a Plastic And Reconstructive Surgery in Mount Vernon, Illinois. Steven J Clark practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Steven J Clark is 1154353720. The last update date is 2013-10-21.
Steven J Clark's current location address is 2 Good Samaritan Way, Mount Vernon, Illinois. You can contact this provider via phone number 6188993980 and fax number 6188994793. The mailing address for Steven J Clark is 2 Good Samaritan Way, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven J Clark |
|---|---|
| Address | 2 Good Samaritan Way, Mount Vernon, Illinois |
| Phone Number | 6188993980 |
| Fax Number | 6188994793 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154353720 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2013-10-21 |
Provider Mailing Address Detail
| Address | 2 Good Samaritan Way |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642408 |
| Phone Number | 6188993980 |
| Fax Number | 6188994793 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 36086955 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 257001700 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Steven J Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Steven J Clark has been assigned the NPI (National Provider Identifier) 1154353720. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Steven J Clark's facilities are situated?
The facilities of Steven J Clark are physically located at the following address: 2 Good Samaritan Way, Mount Vernon, IL, 628642408.
What is Steven J Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Steven J Clark is Plastic And Reconstructive Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154353720 to Steven J Clark?
The Centers for Medicare & Medicaid Services originally issued the 1154353720 to Steven J Clark on 2006-07-06.
As of what date was the information pertaining to Steven J Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Steven J Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-10-21.
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