Individual provider · Type 1 NPI

Kenneth John Clark

Hearing Instrument Specialist · Glen Ellyn, IL

NPI number 1104487149 Active

Practice location

462 Roosevelt Rd
Glen Ellyn, IL 60137-5611

Fax (630) 469-1212

Specialties and licenses

TaxonomyCodeLicense
Hearing Instrument Specialist Primary 237700000X1638 (IL)

Hearing Instrument Specialist: Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

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About NPI 1104487149

Kenneth John Clark's National Provider Identifier is 1104487149, issued on Jun 20, 2019. The primary taxonomy on file is Hearing Instrument Specialist (237700000X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jun 25, 2019.