| Michael G Clark Dc Sc | |
|
1159 Wilmette Ave, Suite 228, Wilmette, IL 60091-2649 | |
| (847) 251-6707 | |
| (847) 251-9660 |
| Full Name | Michael G Clark Dc Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1159 Wilmette Ave, Wilmette, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316224678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038006241 (Illinois) | Primary |
| Provider Name | Michael G Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134261670 PECOS PAC ID: 1658535323 Enrollment ID: I20120608000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael G Clark Dc Sc 1159 Wilmette Ave, Suite 228, Wilmette, IL 60091-2649 Ph: (847) 251-6707 | Michael G Clark Dc Sc 1159 Wilmette Ave, Suite 228, Wilmette, IL 60091-2649 Ph: (847) 251-6707 |
Dr. Benjamin Thomas Duke, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1515 Sheridan Rd, Arcade Unit 20-21, Wilmette, IL 60091 Phone: 847-920-4544 Fax: 847-920-5754 | |
Dr. Brad Campbell, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 522 Poplar Dr, Wilmette, IL 60091 Phone: 847-251-0044 Fax: 847-251-0066 | |
Dr. Pieter A Van Heule, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 522 Poplar Dr, Wilmette, IL 60091 Phone: 847-251-0044 Fax: 847-251-0066 | |
Dr. Michael G Clark, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1159 Wilmette Ave, Suite 228, Wilmette, IL 60091 Phone: 847-251-6707 Fax: 847-251-9660 | |
Dr. Alexander Charles Halstead, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 402 Linden Ave, Wilmette, IL 60091 Phone: 847-920-4506 | |
Dr. Michael L Belba, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3207 Lake Ave Ste 5a, Wilmette, IL 60091 Phone: 847-920-1822 Fax: 847-920-1823 | |
Dr. Daniel Keith Mossell, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 522 Poplar Dr, Wilmette, IL 60091 Phone: 847-251-0044 Fax: 847-251-0066 |