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

TODD CLARK, MEDICAL DOCTOR

Active

TODD CLARK, MEDICAL DOCTOR is a Emergency Medicine healthcare provider located in PARK RIDGE, Illinois. NPI 1073504767 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · PARK RIDGE, IL

Registration Details

NPI Number
1073504767
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2005 (20.75344805849 yrs)
Last Updated
Sep 19, 2022
Licenses
A84896 (CA)
A84896 (CA)
036-107180 (IL)
036-107180 (IL)

Practice Information

Address
1775 W DEMPSTER ST
1 WEST
PARK RIDGE, IL, 600681143
Browse IL providers · Browse ZIP 60068
Phone
8477235150
Fax
8477232083
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medical Services
Additional Specialty
Emergency Medical Services
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in PARK RIDGE, IL

Name Credential NPI
AMY S. ARCHER M.D. 1851386361
BETH MARIE HILLMAN DO 1003860800
TROY FOSTER MD 1851332043
DOUGLAS ALAN PROPP MD 1821021064
DR. RYAN DRISCOLL GREENE M.D. 1154342574
DR. KRIS NARASIMHAN M.D. 1982718797
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.