Mr Michael J Clarke, MA-CCC SLP is a
Speech-language Pathologist based in Winthrop Harbor, Illinois. Mr Michael J Clarke is licensed to practice in Illinois (license number ) and his current practice location is
1412 Landon Ave, Winthrop Harbor, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 361-5530.
NPI number for Mr Michael J Clarke is 1912064569 and his current mailing address is 1412 Landon Ave, Winthrop Harbor, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912064569.
Healthcare Provider's Profile
Full Name | Mr Michael J Clarke |
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Gender | Male |
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Speciality | Speech-language Pathologist |
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Location | 1412 Landon Ave, Winthrop Harbor, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912064569
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 04/20/2008
Medical Identifiers
Medical identifiers for Mr Michael J Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912064569 | NPI | - | NPPES |
481943 CLA | Other | IL | UNITED HEALTHCARE |
04927751 | Other | IL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 34-154 (Wisconsin) | Secondary |
235Z00000X | Speech-language Pathologist | MC19430399P (Illinois) | Secondary |
235Z00000X | Speech-language Pathologist | (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 Michael J Clarke 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 |
Mr Michael J Clarke, MA-CCC SLP 1412 Landon Ave, Winthrop Harbor, IL 60096-1844 Ph: (847) 361-5530 | Mr Michael J Clarke, MA-CCC SLP 1412 Landon Ave, Winthrop Harbor, IL 60096-1844 Ph: (847) 361-5530 |
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