CLARK ANDERSON
NPI 1447783063
Contractor in Flossmoor, IL

Active since April 10, 2017
19010 AVERS AVE, FLOSSMOOR, IL 60422(708) 574-0728 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clark Anderson NPPES

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

CLARK ANDERSON (NPI 1447783063) is an individual contractor provider in Flossmoor, Illinois and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1447783063
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameCLARK ANDERSON
Location Address19010 AVERS AVEFlossmoor, IL 60422-1017
Mailing Address19010 Avers AveFlossmoor, IL 60422-1017 · (708) 574-0728
Sole ProprietorNo
Enumeration DateApril 10, 2017
NPI 1447783063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
19010 AVERS AVE, Flossmoor, IL 60422

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 Clark Anderson's NPI number?

The NPI number for Clark Anderson is 1447783063. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Clark Anderson located?

Clark Anderson practices at 19010 Avers Ave, Flossmoor, IL 60422. The listed phone number is (708) 574-0728.

What is Clark Anderson's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Clark Anderson was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.