Search › Illinois › 171W00000X
Clark Anderson
NPI 1447783063 · on the registry since 2017
Practice
- Address
- 19010 Avers Ave
Flossmoor, IL 60422 - Phone
- (708) 574-0728
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-10
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