Meredith Clark

Surgical Physician Assistant · Glenview, IL

Individual Active NPI

NPI number 1023609278

Practice location

2180 Pfingsten Rd # 2000
Glenview, IL 60026-1339
Phone
(847) 570-1440
Fax
(847) 503-2100

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NPI record

NPI
1023609278
Entity type
Individual (Type 1)
Enumeration date
January 31, 2021
Last updated
May 23, 2022
Certified
May 23, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X 085008899 IL
Physician Assistant 363A00000X 085008899 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

Other practice locations (1)

  • 900 E Stonewall St Apt 350, Charlotte, NC 28204 · (616) 443-9955

About Meredith Clark

Meredith Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 2180 Pfingsten Rd # 2000, Glenview, IL 60026-1339. The NPI number 1023609278 was assigned on January 31, 2021 and the record was last updated on May 23, 2022.

Meredith Clark lists 2 licenses in the registry: #085008899 (IL) for Surgical Physician Assistant; #085008899 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Meredith Clark?

The NPI number is 1023609278.

What is the phone number of Meredith Clark?

The phone number listed for the practice location is (847) 570-1440.

Where is Meredith Clark located?

2180 Pfingsten Rd # 2000, Glenview, IL 60026-1339.

What is the taxonomy code for Meredith Clark?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant; 2 more listed above.

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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