SearchIllinois363A00000X

Elijah Clark, PA-C

NPI 1962128595 · on the registry since 2022

Practice

Address
675 N Saint Clair St Ste 19-100
Chicago, IL 60611
Phone
(312) 664-3278
Fax
(312) 695-5774
Organisation at this address
Sonia Settler
Mcgaw Medical Center
Northwestern Laser Vision, Llc
Northwestern Memorial Hospital
Northwestern-Rosin Eyecare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
692

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
363AS0400X
Sex
Male
Record last updated
2024-07-29

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