Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEODORE R CLARK III
Active Sole ProprietorMR. THEODORE R CLARK III is a Diagnostic Radiology healthcare provider located in NORTH CHICAGO, Illinois. NPI 1568233260 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · NORTH CHICAGO, IL
Registration Details
- NPI Number
- 1568233260
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2024 (2.6006356622839 yrs)
- Last Updated
- Jan 11, 2024
- License
-
533773 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3001 GREEN BAY RDNORTH CHICAGO, IL, 600643048Browse IL providers · Browse ZIP 60064
- Phone
- 8476881900
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in NORTH CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| PIYUSH I VYAS | M.D. | 1295754885 |
| VAISHALI S LAFITA | MD | 1053583633 |
| RYAN W LUTZ | — | 1902337108 |
| OFELIA LIMA | — | 1518738202 |
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.