Organization
MICHAEL G CLARK DC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G CLARK DC (PRESIDENT)
(847) 251-6707
Entity
Organization
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
038006241
IL
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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