NPI

Jeffrey Clark

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
Hearing Specialist
Type
Individual
Enumeration date
2014-07-09
Last updated
2023-08-18

Specialties

Licenses

License IL
2917

Location

Practice location
123 E Mondamin St
City
Minooka IL
Postal code
60447-9896
Phone
(815) 790-3741

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Minooka, IL. 138 records in the public file.

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