Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH JOHN CLARK
ActiveKENNETH JOHN CLARK is a Hearing Instrument Specialist healthcare provider located in GLEN ELLYN, Illinois. NPI 1104487149 is currently active in the NPPES registry. Verify at CMS.
Hearing Instrument Specialist · GLEN ELLYN, IL
Registration Details
- NPI Number
- 1104487149
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2019 (7.1150030589343 yrs)
- Last Updated
- Jun 25, 2019
- License
-
1638 (IL)
Practice Information
- Address
-
462 ROOSEVELT RDGLEN ELLYN, IL, 601375611Browse IL providers · Browse ZIP 60137
- Phone
- 6304329807
- Fax
- 6304691212
- Primary Specialty
-
Hearing Instrument Specialist
237700000X
Other Hearing Instrument Specialist Providers in GLEN ELLYN, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID COLOMBO | H.I.S. | 1205391992 |
| JEREMY DAVID HAMMAN | BS | 1225699218 |
| SUSANNE VORDERER | — | 1437814704 |
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.