Clark, Concetta M

Clark, Concetta M is an individual health care provider with primary practice located at 426 Roosevelt Rd , Glen Ellyn IL 60137-5611. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Clark, Concetta M can be contacted via phone (630) 469-6061.

Contact Information

Primary practice address
426 Roosevelt Rd Glen Ellyn IL 60137-5611
Phone: (630) 469-6061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147.000791 Illinois

Profile Details

NPI number 1770809659
LBN Legal business name Clark, Concetta M
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2010
Last updated Apr 16th, 2010 - about 14 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.

Request for update

Popular Providers