DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROBERT EDWARD CLARK, MD

Active

DR. ROBERT EDWARD CLARK, MD is a Gastroenterology healthcare provider located in BLOOMINGTON, Illinois. NPI 1033372727 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · BLOOMINGTON, IL

Registration Details

NPI Number
1033372727
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2008 (18.13137946712 yrs)
Last Updated
Jun 28, 2024
Licenses
MT190170 (PA)
2010017443 (MO)
036131371 (IL)

Practice Information

Address
1228 TOWANDA AVE STE 1
BLOOMINGTON, IL, 617013469
Browse IL providers · Browse ZIP 61701
Phone
3094545900
Fax
3094542820
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Gastroenterology
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in BLOOMINGTON, IL

Name Credential NPI
VIJAY LAXMI MISRA M.D. 1164475877
MR. KENNETH SCHOENIG MD 1033147848
DR. OMAR S KHOKHAR MD 1386865244
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.