Search › Illinois › 171100000X
Alexandra Marks-Clark, DIPL.LAC, MSOM, NMD
NPI 1063602290 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1050 N State St
Mezz 6
Chicago, IL 60610 - Phone
- (312) 440-9310
- Organisation at this address
- Jeffrey A. Weller, Dds, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-25
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