Clark, Robert Edward

Clark, Robert Edward is an individual health care provider with primary practice located at 1228 Towanda Ave Ste 1 , Bloomington IL 61701-3469. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Clark, Robert Edward can be contacted via phone (309) 454-5900.

Contact Information

Primary practice address
1228 Towanda Ave Ste 1 Bloomington IL 61701-3469
Phone: (309) 454-5900
Fax: (309) 454-2820
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT190170 Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2010017443 Missouri
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036131371 Illinois

Profile Details

NPI number 1033372727
LBN Legal business name Clark, Robert Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2008
Last updated Jun 28th, 2024 - about 6 months 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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