Kelly Jo Clark in Chicago - Physical Therapist
Kelly Jo Clark - NPI 1013135797
Kelly Jo Clark is a Physical Therapist in Chicago, Illinois. Kelly Jo Clark practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kelly Jo Clark is 1013135797. The last update date is 2008-12-02.
Kelly Jo Clark's current location address is 1527 N Wells St, Chicago, Illinois. You can contact this provider via phone number 3126428114 and fax number 3126428504. The mailing address for Kelly Jo Clark is 1527 N Wells St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Jo Clark |
|---|---|
| Address | 1527 N Wells St, Chicago, Illinois |
| Phone Number | 3126428114 |
| Fax Number | 3126428504 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1013135797 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2008-12-02 |
Provider Mailing Address Detail
| Address | 1527 N Wells St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606101307 |
| Phone Number | 3126428114 |
| Fax Number | 3126428504 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 70012560 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique identification code assigned to Kelly Jo Clark by the Centers for Medicare & Medicaid Services?
The Kelly Jo Clark has been issued the NPI (National Provider Identifier) 1013135797. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly Jo Clark located?
The Kelly Jo Clark is located at 1527 N Wells St, Chicago, IL 606101307.
What is Kelly Jo Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Jo Clark is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date was the 1013135797 assigned to Kelly Jo Clark?
The Kelly Jo Clark was issued its 1013135797 on 2007-04-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kelly Jo Clark last refreshed?
The information related to the Kelly Jo Clark, including its address, specialty, and other relevant details, was last updated on 2008-12-02.