SearchIllinois103TC0700X

Robert Clark, PHD

NPI 1548198948 · on the registry since 2026 · sole proprietor

Practice

Address
9016 Ewing Ave
Evanston, IL 60203
Phone
(847) 702-9067
Fax
(847) 674-7218

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-13

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