NPI 1053109280
Zachary Clark
Practice location
- Address
- 123 W Mondamin St, Minooka, IL 60447-9191
- Phone
- (815) 255-2888
- Mailing address
- 414 Grande Dr Unit a, Minooka, IL 60447-9024
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1053109280
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Apr 2025
- Record last updated
- 28 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.