Search › Illinois › 222Q00000X
Keisha Clark
NPI 1457690844 · on the registry since 2013
Practice
- Address
- 3711 S Vincennes Ave
Unit 614
Chicago, IL 60653 - Phone
- (309) 721-8831
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Sex
- Female
- Record last updated
- 2013-02-05
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