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Mr. Theodore R Clark III
Diagnostic Radiology Physician in North Chicago, Illinois
NPI 1568233260

Theodore R Clark III is a Diagnostic Radiology Physician based in Gurnee, IL and is specialized in Diagnostic Radiology. Theodore R Clark III practices in North Chicago, IL. The NPI Number for Theodore R Clark III is 1568233260 and holds a License No. 533773 (Illinois).

The current practice location address for Theodore R Clark III is 3001 Green Bay Rd, North Chicago, IL and can be reached out via phone at 847-688-1900.

Location: 3001 Green Bay Rd, North Chicago, IL, 60031-4231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568233260
Provider Name
Theodore R Clark III
Credential
Provider Entity Type
Individual
Gender
Male
Address
3001 Green Bay Rd, North Chicago, IL, 60031-4231
Phone Number
847-688-1900
Fax Number
Provider Enumeration Date
01/11/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3001 Green Bay Rd
City
North Chicago
State
Illinois
Zip
60064-3048
Phone Number
847-688-1900
Fax Number
person
Provider Business Mailing Address Details
Address
3001 Green Bay Rd
City
North Chicago
State
Illinois
Zip
60064-3048
Phone Number
847-688-1900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
533773 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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