Search › Illinois › 235Z00000X
Michael Clarke, MA-CCC. SLP
NPI 1912064569 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1412 Landon Ave
Winthrop Harbor, IL 60096 - Phone
- (847) 361-5530
- Fax
- (847) 872-4817
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
235Z00000X - Licence states on file
- WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-20
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