Kevin Clarke PA

NPI 1063475432 - Physician Assistant - 363A00000X

NPI Details
NPI 1063475432
Gender Male
Enumeration Date 04/07/2006
Last Updated 05/01/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
333 MADISON ST
JOLIET IL, 60435-8200, US
Phone (815) 725-7000
Fax
Business Location
333 MADISON ST
JOLIET IL, 60435-8200, US
Phone (815) 725-7000
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085001326
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According to our database, Kevin Clarke PA NPI is 1063475432, taxonomy code is 363A00000X and license number is 085001326, license state is located at Illinois. Kevin Clarke PA physically located at 333 Madison St, Joliet IL, 60435-8200. NPI Number Kevin Clarke PA has the Individual type.

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1063475432 NPI number is provided on an as is basis without warranty of any kind. 1063475432 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Clarke PA are for informational purposes only.