Clark, Davette M

Clark, Davette M is an sole proprietor health care provider with primary practice located at 4856 Castle Dargan Dr. , Country Club Hills IL 60478-5820. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Clark, Davette M can be contacted via phone (708) 957-8616.

Contact Information

Primary practice address
4856 Castle Dargan Dr. Country Club Hills IL 60478-5820
Phone: (708) 957-8616
Fax: (708) 957-8617
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1750417614
LBN Legal business name Clark, Davette M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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