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Search › Illinois › 363AM0700X

Jacob Clark

NPI 1013614304 · on the registry since 2023

Practice

Address
530 Ne Glen Oak Ave
Peoria, IL 61637
Phone
(309) 655-2000
Organisation at this address
University Of Illinois
University Of Illinois
St. Francis Medical Center
Saint Francis Medical Center
Saint Francis Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,001

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Sex
Male
Record last updated
2023-04-07

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