SearchIllinoisEmergency Medicine Physician

Ted Clark, M.D., M.P.P

NPI 1497914741 · on the registry since 2008

Practice

Address
701 N. 1st Street
Springfield, IL 62781
Phone
(217) 545-7409
Fax
(217) 545-2711
Organisation at this address
Memorial Home Services
Memorial Home Services
Memorial Medical Center
Memorial Medical Center
Memorial Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
453

Registry record

Primary taxonomy
Emergency Medicine Physician
207P00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-03-14

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