Daniel L Clark Do Ltd

NPI 1093893117 - Family Medicine - 207Q00000X

NPI Details
NPI 1093893117
Enumeration Date 11/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DANIEL LEE DANIEL
Position PRESIDENT
Phone (815) 838-0052
Fax (815) 838-4410
Practice Location
14831 W 159TH ST
HARRIS BANK BUILDING
LOCKPORT IL, 60491, US
Phone (815) 838-0052
Fax (815) 838-4410
Business Location
14831 W 159TH ST
HARRIS BANK BUILDING
LOCKPORT IL, 60491, US
Phone (815) 838-0052
Fax (815) 838-4410
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1093893117 NPI Number
 

According to our database, Daniel L Clark Do Ltd NPI is 1093893117, taxonomy code is 207Q00000X Daniel L Clark Do Ltd physically located at 14831 W 159th St, Lockport IL, 60491. NPI Number 1033115704 has the healthcare provider type.

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1093893117 NPI number is provided on an as is basis without warranty of any kind. 1093893117 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel L Clark Do Ltd are for informational purposes only.