Mike A Clark is a Occupational Therapist in Crete, Illinois. Mike A Clark practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Mike A Clark is 1639370984. The last update date is 2007-07-08.
Mike A Clark's current location address is 23235 S Volbrecht Rd, Crete, Illinois. You can contact this provider via phone number 7087575362. The mailing address for Mike A Clark is 23235 S Volbrecht Rd, Crete, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mike A Clark |
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Address | 23235 S Volbrecht Rd, Crete, Illinois |
Phone Number | 7087575362 |
Fax Number | |
Sole Proprietor | N |
Credentials | OT |
NPI Number Detail
NPI Number | 1639370984 |
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Provider Enumeration Date | 2007-05-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 23235 S Volbrecht Rd |
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City | Crete |
State | Illinois (IL) |
Post Code | 604171789 |
Phone Number | 7087575362 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapist |
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Taxonomy | 225X00000X |
Licence No | 31001679A |
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique 10-digit identification code issued to Mike A Clark by the Centers for Medicare & Medicaid Services?
The Mike A Clark has been assigned the NPI (National Provider Identifier) 1639370984 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Mike A Clark's facilities are geographically located?
The facilities of Mike A Clark are physically situated at the following location: 23235 S Volbrecht Rd, Crete, IL, 604171789.
What is Mike A Clark's area of expertise and its corresponding taxonomy classification?
The Mike A Clark's field of specialization is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mike A Clark receive its 1639370984 assignment from the Centers for Medicare & Medicaid Services?
The Mike A Clark was assigned its 1639370984 by the Centers for Medicare & Medicaid Services on 2007-05-31.
When was the information regarding Mike A Clark most recently updated?
The details pertaining to the Mike A Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.