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Jerome Clark
NPI 1013465145 · on the registry since 2016 · sole proprietor
Practice
- Address
- 671 S Lewis Ave
Waukegan, IL 60085 - Phone
- (847) 782-4000
- Organisation at this address
- Catholic Charities Of The Archdiocese Of Chicago
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 37
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Male
- Record last updated
- 2016-09-19
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