ELIJAH BOONE CLARK PA-C
NPI 1962128595
Physician Assistant in Chicago, IL
About Elijah Boone Clark Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIJAH BOONE CLARK PA-C (NPI 1962128595) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elijah Boone Clark Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Advocate Lutheran General Hospital
Acute Care Hospitals · Park Ridge, ILAdvocate Good Samaritan Hospital
Acute Care Hospitals · Downers Grove, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
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 Elijah Clark's NPI number?
The NPI number for Elijah Clark is 1962128595. It was assigned to this individual provider in the NPPES registry on October 14, 2022.
Where is Elijah Clark located?
Elijah Clark practices at 675 N Saint Clair St Ste 19-100, Chicago, IL 60611. The listed phone number is (312) 664-3278.
What is Elijah Clark's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Elijah Clark enrolled in Medicare?
Yes. Elijah Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Elijah Clark affiliated with any hospitals?
According to CMS data, Elijah Clark is affiliated with Advocate Lutheran General Hospital and Advocate Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Elijah Clark was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
