Search › Illinois › 363A00000X
Nathaniel Clark, P.A
NPI 1063660074 · on the registry since 2008
Practice
- Address
- 409 W Oak St
Carbondale, IL 62901 - Phone
- (618) 529-4455
- Fax
- (618) 351-1287
- Clinicians at this address
- 44
Additional practice sites
- 3905 W Ernestine Dr, Marion, IL
- 100 Dr Warren Tuttle Dr, Harrisburg, IL
- 217 S Park Ave Ste 2, Herrin, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207RI0011X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-21
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