TODD CLARK MEDICAL DOCTOR
NPI 1073504767
Emergency Medicine in Park Ridge, IL

Active since November 02, 2005PECOS Enrolled
1775 W DEMPSTER ST, 1 WEST, PARK RIDGE, IL 60068(847) 723-5150(847) 723-2083 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Todd Clark Medical Doctor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TODD CLARK MEDICAL DOCTOR (NPI 1073504767) is an individual emergency medicine provider in Park Ridge, Illinois, licensed in Illinois (036-107180) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073504767
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTODD CLARKCredential: MEDICAL DOCTOR
Location Address1775 W DEMPSTER ST, 1 WESTPark Ridge, IL 60068-1143
Mailing Address29373 Network PlChicago, IL 60673-1143 · (847) 390-5900
Fax(847) 723-2083
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
NPI 1073504767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in IL · 036-107180 Licensed in CA · A84896
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License A84896 (CA), 036-107180 (IL)
1775 W DEMPSTER ST, Park Ridge, IL 60068

Other Identifiers 2

Medicaid00A84896CA
Medicaid00A848960CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Todd Clark Medical Doctor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
67 services67 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Anesthesiology
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Psychiatric Hospital
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Internal Medicine
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Student in an Organized Health Care Education/Training Program
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
General Acute Care Hospital
1775 W DEMPSTER ST, 8 SOUTH
PARK RIDGE, IL 60068
Speech-Language Pathologist
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Clinical Nurse Specialist (Acute Care)
1775 W DEMPSTER ST
PARK RIDGE, IL 60068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073504767, enumerated as an "individual" on November 02, 2005.

The provider is located at 1775 W DEMPSTER ST 1 WEST PARK RIDGE, IL 60068 and the phone number is (847) 723-5150.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.