Individual
CONCETTA M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
426 ROOSEVELT RD, GLEN ELLYN, IL 60137-5611
(630) 469-6061
Mailing address
426 ROOSEVELT RD, GLEN ELLYN, IL 60137-5611
(630) 469-6061
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.000791
IL
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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