Mr. Theodore R Clark III
Mr. Theodore R Clark III is a Diagnostic Radiology Physician in North Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
3001 Green Bay RdNorth Chicago, IL 60064-3048
Phone: (847) 688-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 533773 (IL) |
|---|
Record details
| NPI number | 1568233260 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 11, 2024 |
| Last updated in NPPES | January 11, 2024 |
| Certification date | January 11, 2024 |
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