person
Kendrick Terrill Clack, FNP-C
Family Nurse Practitioner in Chicago, Illinois
NPI 1730597659

Kendrick Terrill Clack is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Kendrick Terrill Clack practices in Chicago, IL and has the professional credentials of FNP-C. The NPI Number for Kendrick Terrill Clack is 1730597659 and holds a License No. AP125826 (Illinois).

The current practice location address for Kendrick Terrill Clack is 641 W 63Rd St, Chicago, IL and can be reached out via phone at 773-388-1600 and via fax at 773-783-8197.

Location: 641 W 63Rd St, Chicago, IL, 60621-2032
person
Provider Profile Details
NPI Number
1730597659
Provider Name
Kendrick Terrill Clack
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
641 W 63Rd St, Chicago, IL, 60621-2032
Phone Number
773-388-1600
Fax Number
773-783-8197
Provider Enumeration Date
07/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
641 W 63Rd St
City
State
Zip
60621-2032
Phone Number
773-388-1600
Fax Number
773-783-8197
person
Provider Business Mailing Address Details
Address
641 W 63Rd St
City
State
Zip
60621-2032
Phone Number
773-388-1600
Fax Number
773-783-8197
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP125826 (Texas)
Definition
Definition to come...
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