Concetta M. Clark, M.A.

Audiologist · Glen Ellyn, IL

Individual Active NPI

NPI number 1770809659

Practice location

426 Roosevelt Rd
Glen Ellyn, IL 60137-5611
Phone
(630) 469-6061

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NPI record

NPI
1770809659
Entity type
Individual (Type 1)
Enumeration date
April 16, 2010
Last updated
April 16, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Audiologist Primary 231H00000X 147.000791 IL

About Concetta Clark

Concetta M. Clark, M.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Audiologist (code 231H00000X). The practice location is 426 Roosevelt Rd, Glen Ellyn, IL 60137-5611. The NPI number 1770809659 was assigned on April 16, 2010 and the record was last updated on April 16, 2010.

Concetta Clark lists a license in the registry: #147.000791 (IL) for Audiologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Concetta M. Clark, M.A.?

The NPI number is 1770809659.

What is the phone number of Concetta Clark?

The phone number listed for the practice location is (630) 469-6061.

Where is Concetta Clark located?

426 Roosevelt Rd, Glen Ellyn, IL 60137-5611.

What is the taxonomy code for Concetta Clark?

The primary taxonomy code is 231H00000X – Audiologist.

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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