Individual
KEVIN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7000
Mailing address
1200 HARGER RD STE 408, OAK BROOK, IL 60523-1818
(630) 581-6522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001326
IL
Other
Enumeration date
04/07/2006
Last updated
08/18/2020
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