Individual
DR. ANN E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2015 N MAIN ST, WHEATON, IL 60187-3152
(630) 668-8250
(630) 668-9561
Mailing address
2015 N MAIN ST, WHEATON, IL 60187-3152
(630) 668-8250
(630) 668-9561
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007084
IL
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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