Ralph Clark

Driver · Harvey, IL

Individual Active NPI

NPI number 1003475880

Practice location

14847 Vail Ave
Harvey, IL 60426-1536
Phone
(773) 724-9433

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NPI record

NPI
1003475880
Entity type
Individual (Type 1)
Enumeration date
June 6, 2019
Last updated
June 6, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X C46272064039 IL

Mailing address

12003 S Pulaski Rd Apt 256
Alsip, IL 60803-1221
Phone
(708) 690-3845

About Ralph Clark

Ralph Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 14847 Vail Ave, Harvey, IL 60426-1536. The NPI number 1003475880 was assigned on June 6, 2019 and the record was last updated on June 6, 2019.

Ralph Clark lists a license in the registry: #C46272064039 (IL) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ralph Clark?

The NPI number is 1003475880.

What is the phone number of Ralph Clark?

The phone number listed for the practice location is (773) 724-9433.

Where is Ralph Clark located?

14847 Vail Ave, Harvey, IL 60426-1536.

What is the taxonomy code for Ralph Clark?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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