Individual
DR. SUSAN H CLARK
Active
Individual
DR. SUSAN H CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036060118
IL
2084P0800X
Psychiatry Physician
03606118
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
537220
PIN
—
Enumeration date
11/07/2006
Last updated
06/05/2022
Update your record
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