Individual
DR. GREGORY CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N MICHIGAN AVE, SUITE 2014, CHICAGO, IL 60601-3901
(312) 236-3175
(312) 263-3177
Mailing address
PO BOX 802080, CHICAGO, IL 60680-2080
(312) 236-3175
(312) 236-3177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-071641
IL
Other
Enumeration date
03/29/2007
Last updated
04/26/2010
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