Individual provider · Type 1 NPI
Jennifer Clark, P. A.
Surgical Physician Assistant · Hinsdale, IL
NPI number
1114479052
Active
Practice location
550 W Ogden Ave
Hinsdale, IL 60521-3186
Fax (630) 794-8620
Mailing address
2138 Prentiss Dr
Downers Grove, IL 60516-5314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1114479052
Jennifer Clark, P. A.'s National Provider Identifier is 1114479052, issued on Oct 26, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hinsdale, IL. The record was last updated on Oct 26, 2016.