Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUE CLARK, MD
ActiveSUE CLARK, MD is a Developmental-Behavioral Pediatrics healthcare provider located in PEORIA, Illinois. NPI 1174597371 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · PEORIA, IL
Registration Details
- NPI Number
- 1174597371
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2006 (20.511575249399 yrs)
- Last Updated
- Jul 9, 2007
Practice Information
- Address
-
507 E ARMSTRONG AVEREGIONAL DEVELOPMENT CENTERPEORIA, IL, 616033201Browse IL providers · Browse ZIP 61603
- Phone
- 3096816960
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
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.