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

Patricia Clark MD LLC

Organization Surgery Physician · NPI 1134477169

Patricia Clark MD LLC is a Surgery Physician in Homer Glen, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12701 W 143rd St
Homer Glen, IL 60491-7715
Phone: (815) 846-3358
Fax: (708) 460-1117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 03611578 (IL)

Record details

NPI number1134477169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Clark — President · (708) 460-9833
NPI enumeratedAugust 23, 2012
Last updated in NPPESAugust 23, 2012
Mailing addressPo Box 379, Orland Park, IL 60462-0379

Other providers in Homer Glen