Clark, Patrick J

Clark, Patrick J is an individual health care provider with primary practice located at 7603 North Ave , River Forest IL 60305-1133. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clark, Patrick J can be contacted via phone (708) 456-7787.

Contact Information

Primary practice address
7603 North Ave River Forest IL 60305-1133
Phone: (708) 456-7787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 019.032040 Illinois

Profile Details

NPI number 1336508092
LBN Legal business name Clark, Patrick J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2016
Last updated Aug 4th, 2023 - about 2 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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