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

Kenneth John Clark

Individual provider Hearing Instrument Specialist · NPI 1104487149

Kenneth John Clark is a Hearing Instrument Specialist in Glen Ellyn, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019

Practice location Address checks out

462 Roosevelt Rd
Glen Ellyn, IL 60137-5611
Phone: (630) 432-9807
Fax: (630) 469-1212
Show map & directions

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

Specialties & licences

Hearing Instrument Specialist (primary) Taxonomy 237700000X · Licence 1638 (IL)

Record details

NPI number1104487149
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESJune 25, 2019
Mailing address462 Roosevelt Rd, Glen Ellyn, IL 60137-5611

Other providers in Glen Ellyn