Individual
JEFFREY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEARING SPECIALIST
Contact information
Practice address
123 E MONDAMIN ST, MINOOKA, IL 60447-9896
(815) 790-3741
Mailing address
123 E MONDAMIN ST # 11, MINOOKA, IL 60447-9896
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2917
IL
Other
Enumeration date
07/09/2014
Last updated
08/18/2023
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