Kristin Clark, LAC is a
Acupuncturist based in Rochelle, Illinois. Kristin Clark is licensed to practice in Illinois (license number 198000898) and her current practice location is
424 Wayne Road, Rochelle, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 354-7457.
NPI number for Kristin Clark is 1164745980 and her current mailing address is 424 Wayne Road, Rochelle, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164745980.
Healthcare Provider's Profile
Full Name | Kristin Clark |
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Gender | Female |
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Speciality | Acupuncturist |
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Location | 424 Wayne Road, Rochelle, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164745980
- Provider Enumeration Date: 03/08/2010
- Last Update Date: 03/08/2010
Medical Identifiers
Medical identifiers for Kristin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164745980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 198000898 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristin Clark, LAC 424 Wayne Road, Rochelle, IL 61068-9063 Ph: () - | Kristin Clark, LAC 424 Wayne Road, Rochelle, IL 61068-9063 Ph: (773) 354-7457 |
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