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Dr. Daniel Lee Clark, DO
Family Medicine Physician in Lockport, Illinois
NPI 1497833511

Daniel Lee Clark is a Family Medicine Physician based in Lockport, IL. Daniel Lee Clark practices in Lockport, IL and has the professional credentials of DO. The NPI Number for Daniel Lee Clark is 1497833511 and holds a License No. 036071157 (Illinois).

The current practice location address for Daniel Lee Clark is 14831 W 159Th St, Lockport, IL and can be reached out via phone at 815-838-0052 and via fax at 815-838-4410.

Location: 14831 W 159Th St, Lockport, IL, 60491
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497833511
Provider Name
Daniel Lee Clark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
14831 W 159Th St, Lockport, IL, 60491
Phone Number
815-838-0052
Fax Number
815-838-4410
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0991512865 01 BCBS
institution
Provider Business Practice Location Address Details
Address
14831 W 159Th St
City
Lockport
State
Illinois
Zip
60491
Phone Number
815-838-0052
Fax Number
815-838-4410
person
Provider Business Mailing Address Details
Address
14831 W 159Th St
City
Lockport
State
Illinois
Zip
60491
Phone Number
815-838-0052
Fax Number
815-838-4410
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036071157 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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