Search › Illinois › 207RG0100X
Robert Clark, MD
NPI 1033372727 · on the registry since 2008
Practice
- Address
- 1709 Tullamore Ave Ste C
Bloomington, IL 61704 - Phone
- (309) 454-5900
- Fax
- (309) 454-2820
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207R00000X
207RG0100X - Licence states on file
- IL, PA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-26
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