Mr. Steven J Clark
Plastic and Reconstructive Surgery
2 Good Samaritan Way Suite 235
Mount Vernon
, Illinois 62864-2408
Mr. Steven J Clark
Plastic and Reconstructive Surgery
2 Good Samaritan Way Suite 235
Mount Vernon
, Illinois 62864-2408
(618) 899-4793
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Mr. Steven J Clark
- 2 Good Samaritan Way Suite 235
- Mount Vernon, IL
- Zip : 62864-2408
- Fax : (618) 899-4793
- Phone : (618) 899-3980
Second Address
- Mr. Steven J Clark
- 2 Good Samaritan Way Suite 235
- Mount Vernon, IL
- Zip : 62864-2408
- Fax : (618) 899-4793
- Phone : (618) 899-3980
Reviews
FAQs
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Is Mr. Steven J Clark a sole practitioner?
Is Mr. Steven J Clark accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 036086955 | IL |
National Provider Identifier
| NPI | 1154353720 |
|---|---|
| Provider Name | Mr. Steven J Clark |
| First Address | Mount Vernon, IL 62864-2408 |
| Second Address | Mount Vernon, IL 62864-2408 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 21/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 257001700 | (05) | FL |
| G81984 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.