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
| Taxonomy | Code | License |
|---|---|---|
| Hearing Instrument Specialist Primary | 237700000X | 1638 (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
3 other providers at this address
Other hearing instrument specialist providers in Glen Ellyn
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.