# CLARK AND SCHULZE NP PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659095503
- **Authorized official:** CRYSTAL CLARK (NP/OPERATING AGENT)
- **Authorized official phone:** (618) 367-3732

## Contact information

- **Practice address:** 1806 WOODFIELD DR OFC 111, SAVOY, IL 61874-9505
- **Practice address phone:** (618) 367-3732
- **Mailing address:** 1806 WOODFIELD DR, SAVOY, IL 61874-9505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/03/2022
- **Last updated:** 10/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1427557321 | NPI | — |
| 01 | — | 1972979409 | NPI | — |