Clark, David Charles

Clark, David Charles is an sole proprietor health care provider with primary practice located at 552 Lincoln Ave Ste 205 , Winnetka IL 60093-2353. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, David Charles can be contacted via phone (312) 543-9987.

Contact Information

Primary practice address
552 Lincoln Ave Ste 205 Winnetka IL 60093-2353
Phone: (312) 543-9987
Fax: (847) 501-3857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1649383902
LBN Legal business name Clark, David Charles
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 18 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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