SearchIllinois225200000X

Daniel Clearwater

NPI 1487085049 · on the registry since 2013

Practice

Address
221 S Maple Ave Apt B
Oak Park, IL 60302
Phone
(708) 250-7046

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-12-09

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