Ralph Clark
NPI 1003475880 · on the registry since 2019
Practice
- Address
- 14847 Vail Ave
Harvey, IL 60426 - Phone
- (773) 724-9433
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois