Individual
CLAYTON KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6262
(708) 216-3557
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6262
(708) 216-3557
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
125.073543
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2018
Last updated
06/18/2019
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