Organization · Type 2 NPI

Patricia Clark MD LLC

Surgery Physician · Homer Glen, IL

NPI number 1134477169 Active

Practice location

12701 W 143rd St
Homer Glen, IL 60491-7715

Call (815) 846-3358 Map

Fax (708) 460-1117

Mailing address

PO Box 379
Orland Park, IL 60462-0379

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X03611578 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1134477169

Patricia Clark MD LLC's National Provider Identifier is 1134477169, issued on Aug 23, 2012. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Homer Glen, IL. The record was last updated on Aug 23, 2012.