Clark, Kenneth John

Clark, Kenneth John is an individual health care provider with primary practice located at 462 Roosevelt Rd , Glen Ellyn IL 60137-5611. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Clark, Kenneth John can be contacted via phone (630) 432-9807.

Contact Information

Primary practice address
462 Roosevelt Rd Glen Ellyn IL 60137-5611
Phone: (630) 432-9807
Fax: (630) 469-1212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 1638 Illinois

Profile Details

NPI number 1104487149
LBN Legal business name Clark, Kenneth John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2019
Last updated Jun 25th, 2019 - about 6 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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