Stephen J. Clark M.D.,P.C. in Lindenhurst - Primary Care
Stephen J. Clark M.D.,P.C. - NPI 1487772208
Stephen J. Clark M.D.,P.C. is a Primary Care in Lindenhurst, Illinois. Stephen J. Clark M.D.,P.C. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Stephen J. Clark M.D.,P.C. is 1487772208. The last update date is 2020-08-22.
Stephen J. Clark M.D.,P.C.'s current location address is 3021 Falling Waters Blvd, Lindenhurst, Illinois. You can contact this provider via phone number 8473569300 and fax number 8473567260. The mailing address for Stephen J. Clark M.D.,P.C. is 3021 Falling Waters Blvd, Lindenhurst, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stephen J. Clark M.D.,P.C. |
|---|---|
| Address | 3021 Falling Waters Blvd, Lindenhurst, Illinois |
| Phone Number | 8473569300 |
| Fax Number | 8473567260 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Clark J. Stephen |
| Credentials | MD |
| Telephone Number | 8473569300 |
NPI Number Detail
| NPI Number | 1487772208 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3021 Falling Waters Blvd |
|---|---|
| City | Lindenhurst |
| State | Illinois (IL) |
| Post Code | 600466793 |
| Phone Number | 8473569300 |
| Fax Number | 8473567260 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stephen J. Clark M.D.,P.C. by the Centers for Medicare & Medicaid Services?
The Stephen J. Clark M.D.,P.C. has been issued the NPI (National Provider Identifier) 1487772208 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Stephen J. Clark M.D.,P.C. located?
The Stephen J. Clark M.D.,P.C. is located at 3021 Falling Waters Blvd, Lindenhurst, IL 600466793.
What is Stephen J. Clark M.D.,P.C.'s area of expertise and its corresponding taxonomy classification?
The Stephen J. Clark M.D.,P.C.'s field of specialization is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1487772208 to Stephen J. Clark M.D.,P.C.?
The Centers for Medicare & Medicaid Services assigned the 1487772208 to Stephen J. Clark M.D.,P.C. on 2007-03-27.
When was the information pertaining to Stephen J. Clark M.D.,P.C. most recently updated or revised?
The details related to Stephen J. Clark M.D.,P.C., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN