Search › Illinois › 363AS0400X
Meredith Clark
NPI 1023609278 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2180 Pfingsten Rd # 2000
Glenview, IL 60026 - Phone
- (847) 570-1440
- Fax
- (847) 503-2100
- Clinicians at this address
- 4
Additional practice sites
- 900 E Stonewall St Apt 350, Charlotte, NC
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
390200000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-23
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