Mr Theodore R Clark Iii, - Radiology in North Chicago, IL

  1. Home
  2. Radiology
  3. IL
  4. North Chicago
Mr Theodore R Clark Iii, is a Radiology - Diagnostic Radiology physician based in North Chicago, Illinois. Mr Theodore R Clark Iii is licensed to practice in Illinois (license number 533773) and his current practice location is 3001 Green Bay Rd, North Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at (847) 688-1900.

NPI number for Mr Theodore R Clark Iii is 1568233260 and his current mailing address is 17597 W Horseshoe Ln, Gurnee, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568233260.

Contact Information

Mr Theodore R Clark Iii,
3001 Green Bay Rd,
North Chicago, IL 60064-3048
(847) 688-1900
Not Available

Map and Direction




Physician's Profile

Full NameMr Theodore R Clark Iii
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location3001 Green Bay Rd, North Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568233260
  • Provider Enumeration Date: 01/11/2024
  • Last Update Date: 01/11/2024

Medical Identifiers

Medical identifiers for Mr Theodore R Clark Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568233260NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 533773 (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. Mr Theodore R Clark Iii 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 AddressPractice Location Address
Mr Theodore R Clark Iii,
17597 W Horseshoe Ln,
Gurnee, IL 60031-4231

Ph: (919) 634-1902		Mr Theodore R Clark Iii,
3001 Green Bay Rd,
North Chicago, IL 60064-3048

Ph: (847) 688-1900

Reviews and Comments


Radiology Doctors in North Chicago, IL

Vaishali S Lafita, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3001 Green Bay Rd Dept 1332d103, North Chicago, IL 60064
Phone: 224-610-1536    
Dr. Rebecca Jones Rohrer, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064
Phone: 224-610-1197    
Piyush I Vyas, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064
Phone: 847-688-1900    
Ofelia Lima,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064
Phone: 224-610-4356    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.