Individual
DR. MICHAEL G CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1159 WILMETTE AVE, SUITE 228, WILMETTE, IL 60091-2649
(847) 251-6707
(847) 251-9660
Mailing address
1159 WILMETTE AVE, SUITE 228, WILMETTE, IL 60091-2649
(847) 251-6707
(847) 251-9660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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