Individual
ELLEN CHRISTINE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 942-4500
Mailing address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 942-4500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007198
IL
Other
Enumeration date
08/20/2019
Last updated
08/13/2026
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