Individual
JENNIFER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. A.
Contact information
Practice address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 794-8620
Mailing address
2138 PRENTISS DR, DOWNERS GROVE, IL 60516-5314
(630) 323-6116
(630) 794-8620
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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