Patricia Clark Md Llc

LBN: Patricia Clark Md Llc
Patricia Clark Md Llc is an health care organization with primary practice located at 12701 W 143Rd St , Homer Glen IL 60491-7715. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Patricia Clark Md Llc can be contacted via phone (815) 846-3358, or through Clark, Patricia L via phone (708) 460-9833.

Contact Information

Primary practice address
12701 W 143Rd St Homer Glen IL 60491-7715
Fax: (708) 460-1117
Website:
Authorized official contact:
Name: Clark, Patricia L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 03611578 Illinois

Profile Details

NPI number 1134477169
LBN Legal business name Patricia Clark Md Llc
DBA Doing business as
Authorized official Clark, Patricia L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2012
Last updated Aug 23rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers