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John Clark, PA-C
NPI 1063072973 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2700 Light Rd Apt 102
Oswego, IL 60543 - Phone
- (415) 516-8668
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-02
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