NPI 1134535248
Jeffrey Clark, HEARINGSPECIALIST
Practice location
- Address
- 123 E Mondamin St, Minooka, IL 60447-9896
- Phone
- (815) 790-3741
- Mailing address
- 123 E Mondamin St # 11, Minooka, IL 60447-9896
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1134535248
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Jul 2014
- Record last updated
- 18 Aug 2023
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.