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

Dr. Clark A. Zeddies, MD

Individual provider Family Medicine Physician · NPI 1083614432

Dr. Clark A. Zeddies, MD is a Family Practice in South Elgin, Illinois. Graduated from Wayne State University School of Medicine in 1987, 39 years ago. Licensed in Illinois.

Years since qualifying
39
Trained at
Wayne State University School of Medicine
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

455 Briargate Dr Ste 100
South Elgin, IL 60177-2225
Phone: (847) 622-0506
Fax: (847) 622-0507
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036077324 (IL)

Record details

NPI number1083614432
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Not indicated

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