Patrick J. Clark, DDS

Endodontics · River Forest, IL

Individual Active NPI

NPI number 1336508092

Practice location

7603 North Ave
River Forest, IL 60305-1133
Phone
(708) 456-7787

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NPI record

NPI
1336508092
Entity type
Individual (Type 1)
Enumeration date
February 23, 2016
Last updated
August 4, 2023
Certified
August 4, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X 019.032040 IL

Mailing address

548 Sheridan Rd Apt 2n
Evanston, IL 60202-4719
Phone
(253) 241-8160

About Dr. Clark

Patrick J. Clark, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 7603 North Ave, River Forest, IL 60305-1133. The NPI number 1336508092 was assigned on February 23, 2016 and the record was last updated on August 4, 2023.

Dr. Clark lists a license in the registry: #019.032040 (IL) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Patrick J. Clark, DDS?

The NPI number is 1336508092.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (708) 456-7787.

Where is Dr. Clark located?

7603 North Ave, River Forest, IL 60305-1133.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 1223E0200X – Endodontics.

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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