Clark, Carol

Clark, Carol is an sole proprietor health care provider with primary practice located at 2311 E 98Th St , Chicago IL 60617-4842. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Clark, Carol can be contacted via phone (773) 785-4955.

Contact Information

Primary practice address
2311 E 98Th St Chicago IL 60617-4842
Phone: (773) 785-4955
Fax: (773) 785-9011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 26825 Illinois

Profile Details

NPI number 1265938302
LBN Legal business name Clark, Carol
Credentials CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2018
Last updated Apr 5th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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