Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel L Clark DO Ltd

Organization Family Medicine Physician · NPI 1093893117

Daniel L Clark DO Ltd is a Family Medicine Physician in Lockport, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14831 W 159th St Harris Bank Bldg
Lockport, IL 60491
Phone: (815) 838-0052
Fax: (815) 838-4410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036071157 (IL)

Record details

NPI number1093893117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Clark — President · (815) 838-0052
NPI enumeratedNovember 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address14831 W 159th St, Harris Bank Building, Lockport, IL 60491

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