Individual
WILLIAM ALEXANDER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2160 S 1ST AVE BLDG 2840-A, MAYWOOD, IL 60153-3328
(708) 216-4533
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-4533
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.085748
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/24/2025
Last updated
05/20/2025
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