Individual
MARIA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
212 W WASHINGTON ST APT 1406, CHICAGO, IL 60606-3429
(217) 710-8878
Mailing address
212 W WASHINGTON ST APT 1406, CHICAGO, IL 60606-3429
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.086909
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2025
Last updated
06/26/2025
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