Dr Stephen James Clark, MD | |
3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6793 | |
(847) 356-9300 | |
(847) 356-6781 |
Full Name | Dr Stephen James Clark |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 3021 Falling Waters Blvd, Lindenhurst, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538123385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036083190 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
Advocate Condell Medical Center | Libertyville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stephen J. Clark M.d.,p.c. | 2466408554 | 5 |
Entity Name | Stephen J. Clark M.d.,p.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487772208 PECOS PAC ID: 2466408554 Enrollment ID: O20050322000781 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen James Clark, MD 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6793 Ph: (847) 356-9300 | Dr Stephen James Clark, MD 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6793 Ph: (847) 356-9300 |
Dr. Thomas Michael Mcgowan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046 Phone: 847-356-9300 Fax: 847-356-6781 | |
Dr. Peter John Macdonald, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 839 Colony Ct, Lindenhurst, IL 60046 Phone: 847-356-2997 Fax: 847-356-3191 | |
Christine Kharasch, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046 Phone: 847-356-9300 Fax: 847-356-7260 |