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

Meredith Clark

Individual provider Physician Assistant · NPI 1023609278

Meredith Clark is a Physician Assistant in Glenview, Illinois. Qualified in 2021, 5 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

2180 Pfingsten Rd # 2000
Glenview, IL 60026-1339
Phone: (847) 570-1440
Fax: (847) 503-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 E Stonewall St Apt 350, Charlotte, NC 28204 — (616) 443-9955

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085008899 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085008899 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023609278
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2021
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022
Mailing address2180 Pfingsten Rd # 2000, Glenview, IL 60026-1339

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glenview