1. Home
  2. Directory
  3. Illinois
  4. Glen Ellyn
  5. Hearing Instrument Specialist
  6. NPI Profile

KENNETH JOHN CLARK
NPI 1104487149
Hearing Instrument Specialist in Glen Ellyn, IL

Active since June 20, 2019
462 ROOSEVELT RD, GLEN ELLYN, IL 60137(630) 432-9807(630) 469-1212 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth John Clark NPPES

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

KENNETH JOHN CLARK (NPI 1104487149) is an individual hearing instrument specialist in Glen Ellyn, Illinois, licensed in Illinois (1638) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1104487149
Entity TypeIndividualMale
Primary Taxonomy237700000X
Provider Legal NameKENNETH JOHN CLARK
Location Address462 ROOSEVELT RDGlen Ellyn, IL 60137-5611
Mailing Address462 Roosevelt RdGlen Ellyn, IL 60137-5611 · (630) 469-6061 · Fax (630) 469-1212
Phone(630) 432-9807
Fax(630) 469-1212
Sole ProprietorNo
Enumeration DateJune 20, 2019
Last NPPES UpdateJune 25, 2019
✔ NPI 1104487149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHearing Instrument SpecialistSpeech, Language and Hearing Service Providers
Taxonomy Code237700000X
License✔ Licensed in IL · 1638
Definition
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society
462 ROOSEVELT RD, Glen Ellyn, IL 60137
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

MARANS INC
Audiologist-Hearing Aid Fitter
462 ROOSEVELT RD
GLEN ELLYN, IL 60137
Dupage County (630) 469-6061
JEREMY DAVID HAMMAN BS
Hearing Instrument Specialist
462 ROOSEVELT RD
GLEN ELLYN, IL 60137
Dupage County (630) 469-6061
MLM USA LLC
Hearing Aid Equipment
462 ROOSEVELT RD
GLEN ELLYN, IL 60137
Dupage County (630) 469-6061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Clark's NPI number?

The NPI number for Kenneth Clark is 1104487149. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Kenneth Clark located?

Kenneth Clark practices at 462 Roosevelt Rd, Glen Ellyn, IL 60137. The listed phone number is (630) 432-9807.

What is Kenneth Clark's specialty?

The primary specialty registered for this NPI is Hearing Instrument Specialist with taxonomy code 237700000X.

When was this NPI record last updated?

The NPPES record for Kenneth Clark was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.