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Kenneth John Clark
Hearing Instrument Specialist in Glen Ellyn, Illinois
NPI 1104487149

Kenneth John Clark is a Hearing Instrument Specialist based in Glen Ellyn, IL. Kenneth John Clark practices in Glen Ellyn, IL. The NPI Number for Kenneth John Clark is 1104487149 and holds a License No. 1638 (Illinois).

The current practice location address for Kenneth John Clark is 462 Roosevelt Rd, Glen Ellyn, IL and can be reached out via phone at 630-432-9807 and via fax at 630-469-1212.

Location: 462 Roosevelt Rd, Glen Ellyn, IL, 60137-5611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104487149
Provider Name
Kenneth John Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
462 Roosevelt Rd, Glen Ellyn, IL, 60137-5611
Phone Number
630-432-9807
Fax Number
630-469-1212
Provider Enumeration Date
06/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
462 Roosevelt Rd
City
Glen Ellyn
State
Illinois
Zip
60137-5611
Phone Number
630-432-9807
Fax Number
630-469-1212
person
Provider Business Mailing Address Details
Address
462 Roosevelt Rd
City
Glen Ellyn
State
Illinois
Zip
60137-5611
Phone Number
630-432-9807
Fax Number
630-469-1212
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Hearing Instrument Specialist
Speciality
-
Taxonomy
237700000X
License No.
1638 (Illinois)
Definition
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society
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