Individual provider · Type 1 NPI

Meredith Clark

Surgical Physician Assistant · Glenview, IL

NPI number 1023609278 Active

Practice location

2180 Pfingsten Rd # 2000
Glenview, IL 60026-1339

Fax (847) 503-2100

Other practice locations

  • 900 E Stonewall St Apt 350, Charlotte, NC 28204 · (616) 443-9955

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085008899 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X085008899 (IL)

Surgical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1023609278

Meredith Clark's National Provider Identifier is 1023609278, issued on Jan 31, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Glenview, IL. The record was last updated on May 23, 2022.