Clark, Carol

Clark, Carol is an sole proprietor health care provider with primary practice located at 10 N Roselle Rd , Roselle IL 60172-1592. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Clark, Carol can be contacted via phone (630) 529-9189.

Contact Information

Primary practice address
10 N Roselle Rd Roselle IL 60172-1592
Phone: (630) 529-9189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227.001854 Illinois

Profile Details

NPI number 1790192144
LBN Legal business name Clark, Carol
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2014
Last updated Jul 17th, 2014 - about 12 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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