Individual
LOIS CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
645 S CENTRAL AVE, EMERGENCY DEPARTMENT, CHICAGO, IL 60644-5059
(773) 626-4300
Mailing address
5230 S UNIVERSITY AVE, UNIT B, CHICAGO, IL 60615-4400
(773) 363-4876
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-087367
IL
Other
Enumeration date
07/17/2006
Last updated
10/07/2010
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