Individual provider · Type 1 NPI
Ralph Clark
Driver · Harvey, IL
NPI number
1003475880
Active
Practice location
14847 Vail Ave
Harvey, IL 60426-1536
Mailing address
12003 S Pulaski Rd Apt 256
Alsip, IL 60803-1221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | C46272064039 (IL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Harvey
About NPI 1003475880
Ralph Clark's National Provider Identifier is 1003475880, issued on Jun 6, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Harvey, IL. The record was last updated on Jun 6, 2019.