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Search › Illinois › 101Y00000X

Doretha Clark

NPI 1336755511 · on the registry since 2020

Practice

Address
1230 N Highland Ave
Aurora, IL 60506
Phone
(630) 966-4301
Fax
(630) 859-2994
Organisation at this address
Genoa Healthcare Llc
Association For Individual Development
Association For Individual Development
Association For Individual Development
Association For Individual Development
Inferred from a shared address, not stated in the registry.
Clinicians at this address
151

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2020-09-22

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