Individual
DR. JOHN THOMAS CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 E BELLEVUE PL APT 706, CHICAGO, IL 60611-6106
(312) 640-1104
Mailing address
50 E BELLEVUE PL APT 706, CHICAGO, IL 60611-0000
(312) 640-1104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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