Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEVEN J CLARK, MD
Active Sole ProprietorMR. STEVEN J CLARK, MD is a Plastic and Reconstructive Surgery healthcare provider located in MOUNT VERNON, Illinois. NPI 1154353720 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1154353720
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (19.920133423751 yrs)
- Last Updated
- Oct 21, 2013
- License
-
036086955 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 GOOD SAMARITAN WAYSUITE 235MOUNT VERNON, IL, 628642408Browse IL providers · Browse ZIP 62864
- Phone
- 6188993980
- Fax
- 6188994793
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
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.