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

Todd Clark, MEDICALDOCTOR

Individual provider Emergency Medicine Physician · NPI 1073504767

Todd Clark, MEDICALDOCTOR is an Emergency Medicine Physician in Park Ridge, Illinois. Licensed in California and Illinois. Registered with an NPI since 2005.

Licensed in
CA, IL
In the registry since
2005
Specialties on file
4
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Practice location Address checks out

1775 W Dempster St 1 W
Park Ridge, IL 60068-1143
Phone: (847) 723-5150
Fax: (847) 723-2083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036-107180 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A84896 (CA)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence A84896 (CA)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 036-107180 (IL)

Record details

NPI number1073504767
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDICALDOCTOR
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022

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