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

Dr. Robert Edward Clark, MD

Individual provider Gastroenterology Physician · NPI 1033372727

Dr. Robert Edward Clark, MD is a Gastroenterology in Bloomington, Illinois. Qualified in 2007, 19 years ago. Practices with Illinois Gastroenterology Group LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Illinois, Missouri and Pennsylvania.

Years since qualifying
19
Licensed in
IL, MO, PA
In the registry since
2008
Specialties on file
3
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

1709 Tullamore Ave Ste C
Bloomington, IL 61704-9603
Phone: (309) 454-5900
Fax: (309) 454-2820
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 036131371 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT190170 (PA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 2010017443 (MO)

Record details

NPI number1033372727
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2008
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address1709 Tullamore Ave Ste C, Bloomington, IL 61704-9603

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Illinois Gastroenterology Group Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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