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

Mike A Clark, OT

Individual provider Occupational Therapist · NPI 1639370984

Mike A Clark, OT is an Occupational Therapist in Chicago, Illinois. Licensed in Illinois and Indiana. Registered with an NPI since 2007.

Licensed in
IL, IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

444 N Wells St Ste 304
Chicago, IL 60610-4593
Phone: (708) 757-5362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (IL)
Occupational Therapist Taxonomy 225X00000X · Licence 31001679A (IN)

Record details

NPI number1639370984
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedMay 31, 2007
Last updated in NPPESJuly 8, 2007
Mailing address23235 S Volbrecht Rd, Crete, IL 60417-1789

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