Dr DANIEL CLARK is a male medical professional, specializing in Family Medicine. He graduated in from Chicago College Of Osteopathic Medicine.
14831 W 159TH ST
LOCKPORT
IL
604919005
Tel:
| Npi | 1497833511 |
| Pac Id | 8224224548 |
| Professional Enrollment Id | I20101130000094 |
| Last Name | CLARK |
| First Name | DANIEL |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | |
| Primary Specialty | FAMILY MEDICINE |
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| Line 1 Street Address | 14831 W 159TH ST |
| Line 2 Street Address | |
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| City | LOCKPORT |
| State | IL |
| Zip Code | 604919005 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 140213 |
| Hospital Affiliation Lbn 1 | SILVER CROSS HOSPITAL AND MEDICAL CENTERS |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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