Todd Clark
Emergency Physician Emergency Medical Services
1775 W Dempster St 1 West
Park Ridge
, Illinois 60068-1143
Todd Clark
Emergency Physician Emergency Medical Services
1775 W Dempster St 1 West
Park Ridge
, Illinois 60068-1143
(847) 723-2083
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Todd Clark
- 1775 W Dempster St 1 West
- Park Ridge, IL
- Zip : 60068-1143
- Fax : (847) 723-2083
- Phone : (847) 723-5150
Second Address
- Todd Clark
- 1775 W Dempster St 1 West
- Park Ridge, IL
- Zip : 60068-1143
- Fax : (847) 723-2083
- Phone : (847) 723-5150
Reviews
FAQs
Where did Todd Clark attend graduate school?
Where did Todd Clark do his residency?
Where did Todd Clark do his fellowship?
Is Todd Clark board certified?
What type of doctor is Todd Clark
In what state does Todd Clark practice in?
Where is Todd Clark ’s practice located?
What is Todd Clark ’s gender?
Is Todd Clark a sole practitioner?
Is Todd Clark accepting new patients?
What languages does Todd Clark speak?
Does Todd Clark accept insurance?
Does Todd Clark offers telemedicine?
What is Todd Clark ’s professional license number?
What is Todd Clark ’s NPI number?
Does Todd Clark have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 036-107180 | IL |
| N | 207P00000X | Emergency Physician | A84896 | CA |
| N | 207PE0004X | Emergency Medical Services | 036-107180 | IL |
| N | 207PE0004X | Emergency Medical Services | A84896 | CA |
National Provider Identifier
| NPI | 1073504767 |
|---|---|
| Provider Name | Todd Clark |
| First Address | Park Ridge, IL 60068-1143 |
| Second Address | Park Ridge, IL 60068-1143 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2005 |
| Last Update Date | 14/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A84896 | (05) | CA |
| 00A848960 | (05) | CA |
| H83604 | (02) | CA |
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.