Individual provider · Type 1 NPI

Kimberly Nicole Clark, MMS, PA-C

Physician Assistant · Elgin, IL

NPI number 1720624166 Active

Practice location

1600 N Randall Rd Ste 400
Elgin, IL 60123-7805

Call (847) 381-8899 Map

Mailing address

0N331 Ethel St
Winfield, IL 60190-1051

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.007399 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720624166

Kimberly Nicole Clark, MMS, PA-C's National Provider Identifier is 1720624166, issued on Nov 20, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Elgin, IL. The record was last updated on Dec 16, 2021.