Individual
DR. PATRICK J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7603 NORTH AVE, RIVER FOREST, IL 60305-1133
(708) 456-7787
Mailing address
548 SHERIDAN RD APT 2N, EVANSTON, IL 60202-4719
(253) 241-8160
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
019.032040
IL
Other
Enumeration date
02/23/2016
Last updated
08/04/2023
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