| Dr Stephen James Clark, MD | |
|
3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6793 | |
| (847) 356-9300 | |
| (847) 356-6781 |
| Full Name | Dr Stephen James Clark |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 3021 Falling Waters Blvd, Lindenhurst, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538123385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036083190 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Home Health Care Serv | Lombard, IL | Home health agency |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stephen J. Clark M.d.,p.c. | 2466408554 | 6 |
| Entity Name | Stephen J. Clark M.d.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487772208 PECOS PAC ID: 2466408554 Enrollment ID: O20050322000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen James Clark, MD 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6793 Ph: (847) 356-9300 | Dr Stephen James Clark, MD 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6793 Ph: (847) 356-9300 |
Dr. Thomas Michael Mcgowan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046 Phone: 847-356-9300 Fax: 847-356-6781 | |
Dr. Peter John Macdonald, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 839 Colony Ct, Lindenhurst, IL 60046 Phone: 847-356-2997 Fax: 847-356-3191 | |
Christine Kharasch, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046 Phone: 847-356-9300 Fax: 847-356-7260 |