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STEPHEN J. CLARK M.D.,P.C.
NPI 1487772208
Clinic/Center - Primary Care in Lindenhurst, IL

Active since March 27, 2007CLIA 14D1093858 · Waiver
3021 FALLING WATERS BLVD, SUITE A, LINDENHURST, IL 60046(847) 356-9300(847) 356-7260 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen J. Clark M.d.,p.c. NPPES

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

STEPHEN J. CLARK M.D.,P.C. (NPI 1487772208) is a healthcare organization registered as a primary care in Lindenhurst, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Stephen J. Clark, President, as its authorized official.

NPPES Registry Identity

NPI1487772208
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSTEPHEN J. CLARK M.D.,P.C.
Location Address3021 FALLING WATERS BLVD, SUITE ALindenhurst, IL 60046-6793
Mailing Address3021 Falling Waters Blvd, Suite ALindenhurst, IL 60046-6793 · (847) 356-9300 · Fax (847) 356-7260
Phone(847) 356-9300
Fax(847) 356-7260
Organization SubpartNo
Authorized OfficialStephen J. ClarkPresident · (847) 356-9300
Enumeration DateMarch 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487772208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3021 FALLING WATERS BLVD, Lindenhurst, IL 60046
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1093858

Stephen J Clark MD PC · Lindenhurst, IL
Active · expires Jan 4, 2027
CLIA Number14D1093858
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorStephen J. Clark
Laboratory Phone(847) 356-9300
Laboratory LocationStephen J Clark MD PC3021 Falling Waters Blvd, S-A, Lindenhurst, IL 60046
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. THOMAS MICHAEL MCGOWAN M.D.
Family Medicine
3021 FALLING WATERS BLVD, SUITE A
LINDENHURST, IL 60046
Lake County (847) 356-9300
EMILIE BRENNAN PA-C
Physician Assistant
3021 FALLING WATERS BLVD
LINDENHURST, IL 60046
Lake County (847) 356-9300
SARAH GURCHAK PA-C
Physician Assistant
3021 FALLING WATERS BLVD
LINDENHURST, IL 60046
Lake County (847) 356-9300
CHRISTINE KHARASCH MD
Family Medicine
3021 FALLING WATERS BLVD, SUITE A
LINDENHURST, IL 60046
Lake County (847) 356-9300
MR. ANDREW R PRELLETZ PA-C
Physician Assistant
3021 FALLING WATERS BLVD, SUITE A
LINDENHURST, IL 60046
Lake County (847) 356-9300
MRS. HEIDI J HELGESON DONAUBAUER L.M.T
Specialist
3021 FALLING WATERS BLVD, SUITE C
LINDENHURST, IL 60046
Lake County (847) 356-2895
DR. STEPHEN JAMES CLARK M.D.
Family Medicine
3021 FALLING WATERS BLVD, SUITE A
LINDENHURST, IL 60046
Lake County (847) 356-9300
LEIA STEPHENS LMT
Specialist
3021 FALLING WATERS BLVD, STE B
LINDENHURST, IL 60046
Lake County (847) 356-2895

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 Stephen J. Clark M.D.,p.C.'s NPI number?

The NPI number for Stephen J. Clark M.D.,p.C. is 1487772208. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Stephen J. Clark M.D.,p.C. located?

Stephen J. Clark M.D.,p.C. is located at 3021 Falling Waters Blvd Suite A, Lindenhurst, IL 60046. The listed phone number is (847) 356-9300.

What is Stephen J. Clark M.D.,p.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Stephen J. Clark M.D.,p.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1093858) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stephen J. Clark M.D.,p.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.