SearchIllinois374J00000X

Charmaine Clark

NPI 1306671920 · on the registry since 2024

Practice

Address
524 15th St
Moline, IL 61265
Phone
(309) 506-0255
Organisation at this address
Everychild
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2024-09-04

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