Search › Illinois › 171M00000X
Licieara Clark
NPI 1316644040 · on the registry since 2023
Practice
- Address
- 408 Braemar Ave
Naperville, IL 60563 - Phone
- (630) 221-2771
- Organisation at this address
- County Of Dupage Department Of Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2023-02-13
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