SearchIllinois1041C0700X

Clark Bray

NPI 1306645106 · on the registry since 2025 · sole proprietor

Practice

Address
5537 N Clark St, 2nd Floor
Chicago, IL 60640
Phone
(773) 219-1107

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-12

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