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Search › Illinois › 101YP2500X

Mitchell Clark

NPI 1841147865 · on the registry since 2026 · sole proprietor

Practice

Address
2704 N Main St
Rockford, IL 61103
Phone
(815) 391-1000
Organisation at this address
Rosecrance
Rosecrance Inc
Rosecrance Inc
Rosecrance, Inc.
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-11

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