Clark, David Scott

Clark, David Scott is an individual health care provider with primary practice located at 1701 W Superior St , Chicago IL 60622-5646. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Clark, David Scott can be contacted via phone (312) 666-3494.

Contact Information

Primary practice address
1701 W Superior St Chicago IL 60622-5646
Phone: (312) 666-3494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085.004806 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 085004806 Illinois

Profile Details

NPI number 1487089645
LBN Legal business name Clark, David Scott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2013
Last updated Aug 10th, 2021 - about 5 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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