Jacob Clark
Jacob Clark is a Physician Assistant in Peoria, Illinois. Graduated from Yale University School of Medicine in 2023, 3 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment.
- Years since qualifying
- 3
- Trained at
- Yale University School of Medicine
- In the registry since
- 2023
Practice location Address checks out
530 NE Glen Oak AvePeoria, IL 61637-0001
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1013614304 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 8, 2023 |
| Last updated in NPPES | April 7, 2023 |
| Certification date | April 7, 2023 |
| Mailing address | 4537 Tundra Ln, McFarland, WI 53558-9158 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2023 (3 years in practice) |
| Group practice | Osf Multi-Specialty Group — 2128 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Peoria
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Stuart Holland Berryman, PA-C
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Mr. James Anthony Caruso, PA-C
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Sarah Christensen, PA-C
4909 N Glen Park Place Rd, Peoria, IL 61614-4676 · (309) 674-7546
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Jacinda Anne Cornick, PA
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Mr. Danny M Cox, PAC
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Erica M Deford, PA
2805 N Knoxville Ave, Peoria, IL 61604-2869 · (309) 624-9400
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Julie A Desutter, PA
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