Search › Illinois › 1041C0700X
Jean Clark, JEAN R CLARK
NPI 1417051434 · on the registry since 2006 · sole proprietor
Practice
- Address
- 141 Barrypoint Rd
Riverside, IL 60546 - Phone
- (708) 442-5728
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-12-11
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