Mcclurkin, Clark

Mcclurkin, Clark is an individual health care provider with primary practice located at 10801 S Western Ave Ste 201 , Chicago IL 60643-3225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mcclurkin, Clark can be contacted via phone (773) 770-4824.

Contact Information

Primary practice address
10801 S Western Ave Ste 201 Chicago IL 60643-3225
Phone: (773) 770-4824
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036078948 Illinois

Profile Details

NPI number 1184604282
LBN Legal business name Mcclurkin, Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jun 26th, 2024 - about 2 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 1184604282 NPPES
Illinois MEDICAID 036078948

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