DR. DANIEL LEE CLARK DO
NPI 1497833511
Family Medicine in Lockport, IL

Active since November 02, 2006
14831 W 159TH ST, HARRIS BANK BUILDING, LOCKPORT, IL 60491(815) 838-0052(815) 838-4410 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel Lee Clark Do NPPES

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

DR. DANIEL LEE CLARK DO (NPI 1497833511) is an individual family medicine provider in Lockport, Illinois, licensed in Illinois (036071157) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1497833511
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL LEE CLARKCredential: DO
Location Address14831 W 159TH ST, HARRIS BANK BUILDINGLockport, IL 60491
Mailing Address14831 W 159th St, Harris Bank BuildingLockport, IL 60491 · (815) 838-0052 · Fax (815) 838-4410
Fax(815) 838-4410
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateNovember 23, 2009
NPI 1497833511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036071157
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14831 W 159TH ST, Lockport, IL 60491

Other Identifiers 3

Medicare ID-Type Unspecified779990
Other0991512865Bcbs
Medicare UPINC43055

Other Providers at the Same Location NPPES 2

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

Family Medicine
14831 W 159TH ST, HARRIS BANK BUILDING
LOCKPORT, IL 60491
Dentist (General Practice)
14831 W 159TH ST
HOMER GLEN, IL 60491

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 Daniel Clark's NPI number?

The NPI number for Daniel Clark is 1497833511. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Daniel Clark located?

Daniel Clark practices at 14831 W 159th St Harris Bank Building, Lockport, IL 60491. The listed phone number is (815) 838-0052.

What is Daniel Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Daniel Clark was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.