Clarke, Elsburgh

Clarke, Elsburgh is an individual health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61603-4307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clarke, Elsburgh can be contacted via phone (309) 672-5522.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61603-4307
Phone: (309) 672-5522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036103700 Illinois

Profile Details

NPI number 1689637217
LBN Legal business name Clarke, Elsburgh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Aug 18th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689637217 NPPES
Illinois Other P00196870 RAILROAD MEDICARE
Illinois Other 36103700 RAILROAD MEDICARE
Illinois MEDICAID 036103700 RAILROAD MEDICARE

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