PATRICIA CLARK MD LLC - NPI 1134477169 - Surgery in Homer Glen, IL

Q: What is Patricia Clark MD LLC's NPI number?

The NPI number for Patricia Clark MD LLC is 1134477169. It was assigned to this organization in the NPPES registry on August 23, 2012.

Q: What is Patricia Clark MD LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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About Patricia Clark Md Llc NPPES

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

PATRICIA CLARK MD LLC (NPI 1134477169) is a healthcare organization registered as a surgery in Homer Glen, Illinois and active in the NPI registry since August 2012. The organization lists Patricia L Clark, President, as its authorized official.

NPPES Registry Identity

NPI1134477169

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NamePATRICIA CLARK MD LLC

Location Address12701 W 143RD STHomer Glen, IL 60491-7715

Mailing AddressPo Box 379Orland Park, IL 60462-0379 · (708) 460-9833 · Fax (708) 460-1117

Phone(815) 846-3358

Fax(708) 460-1117

Organization SubpartNo

Authorized OfficialPatricia L ClarkPresident · (708) 460-9833

Enumeration DateAugust 23, 2012

✔ NPI 1134477169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 03611578

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

12701 W 143RD ST, Homer Glen, IL 60491

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

CRYSTAL D. HINES-MAYS M.D.

Family Medicine