Carol Clark

NPI 1790192144 · on the registry since 2014 · sole proprietor

Practice

Address: 10 N Roselle Rd
Roselle, IL 60172
Phone: (630) 529-9189
Organisation at this address: Podiatry & Sports Center, Ltd.
Weil Foot And Ankle Institute Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-07-17

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