JEFFREY CLARK (NPI# 1134535248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134535248 |
| Entity Type | Individual |
| Full Name | JEFFREY CLARK |
| Credential | HEARING SPECIALIST |
| Practice Address |
123 E Mondamin St Minooka IL 60447-9896 |
| Mailing Address |
123 E Mondamin St # 11 Minooka IL 60447-9896 |
| Practice Telephone | 8157903741 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2017-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 2917 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505914 | Jeffrey Scott Clark | Counselor | 402 E Yakima Ave Ste 800-c, Yakima, WA 98901-5407 | 2020-03-31 |
| 1063805844 | Jeffrey Clark | Specialist/Technologist | 315 Reber Ave, Lancaster, OH 43130-1761 | 2015-03-18 |
| 1174942353 | Jeffrey Clark | Pediatrics | 9576 Hwy 70, Department of Pediatrics, Minocqua, WI 54548 | 2014-04-15 |
| 1881958767 | Jeffrey Kenneth Clark | Pharmacist | 12850 E Montview Blvd Ste C238, Aurora, CO 80045-2605 | 2012-06-26 |
| 1912285495 | Jeffrey S Clark | Chiropractor | 203 Railroad St Ste 3c, Buda, TX 78610-3437 | 2011-08-01 |
| 1003100934 | Jeffrey Paul Clark | Dentist | 1403 N Loop 336 W, Conroe, TX 77304-3503 | 2011-06-08 |
| 1942520044 | Jeffrey B Clark | Dentist | 2133 Belcourt Avenue, Nashville, TN 37212-3503 | 2010-06-11 |
| 1730405333 | Jeffrey Clark | Pharmacist | 611 N Perry St, Bldg #2, Suite 202, Spokane, WA 99202-5011 | 2010-04-08 |
| 1891989158 | Jeffrey Michael Clark | Dentist | 10429 Lagrima De Oro Rd Ne, Albuquerque, NM 87111 | 2007-08-30 |
| 1851411755 | Jeffrey Paul Clark | Family Medicine | 652 N 1180 E, Orem, UT 84097-5467 | 2007-04-02 |
| Street Address |
123 E MONDAMIN ST |
| City | MINOOKA |
| State | IL |
| Zip Code | 60447-9896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750837738 | Kurt M. Homb, D.d.s., P.C. | Dentist | 123 E Mondamin St, Minooka, IL 60447-9896 | 2016-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326538596 | Wanda Hardy Perkins | Social Worker | 203 W Mondamin St, Minooka, IL 60447 | 2018-05-14 |
| 1629597729 | Jennifer Praveen | Psychologist | 333 Mcevilly Rd, Minooka, IL 60447 | 2017-09-11 |
| 1013164193 | Carrie Ann Skubic | Counselor | 113 W. Wapella St., Suite 2, Minooka, IL 60447 | 2008-08-20 |
| 1164624680 | Minooka Comm Hs Dist 111 | Local Education Agency (LEA) | 203 W Mondamin, Minooka, IL 60447 | 2007-06-05 |
| 1710196191 | Ridge Dental Group, Ltd | Dentist | 2003 Ridge Road, Minooka, IL 60447 | 2007-05-22 |
| 1629109020 | James Dale Mcgehee | Dentist | 123 Mondamin Street, Minooka, IL 60447 | 2007-03-08 |
| 1073554341 | Minooka Fire Protection District | Ambulance | 413 W Mondamin, Minooka, IL 60447 | 2006-06-09 |
| 1639110612 | Angela Solis | Counselor | 113 West Wapella Street, Suite 2, Minooka, IL 60447 | 2006-06-09 |
| 1811944366 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2051 Ridge Rd, Minooka, IL 60447 | 2006-05-30 |
| 1427205111 | Crossroads Counseling Services, LLC | Counselor | 113 W. Wapella St., Suite 2, Minooka, IL 60447 | 2008-08-25 |
| Find all providers in zip 60447 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432517 | Erin Robinson | Hearing Instrument Specialist | 304 E Rand Rd Ste 100, Arlington Heights, IL 60004-3188 | 2020-09-21 |
| 1891308573 | Schackmann Hearing Group LLC | Hearing Instrument Specialist | 212 E Jefferson Ave Ste 2, Effingham, IL 62401-3458 | 2020-08-24 |
| 1801419593 | Teresa Barnes | Hearing Instrument Specialist | 60 E Main St Ste 2c, Cary, IL 60013-2227 | 2020-05-28 |
| 1730718024 | Grace M Leynes | Hearing Instrument Specialist | 107 S State St, Monticello, IL 61856-1968 | 2020-04-07 |
| 1659909125 | David Mccormick | Hearing Instrument Specialist | 1521 N Convent St Ste 300, Bourbonnais, IL 60914-1483 | 2020-03-31 |
| 1003443243 | Jerry Drabik | Hearing Instrument Specialist | 100 E Roosevelt Rd Ste 19, Villa Park, IL 60181-3529 | 2020-03-26 |
| 1245866466 | Lynne Marie Gilliland | Hearing Instrument Specialist | 256 S Route 59 Ste 120, Naperville, IL 60540-9108 | 2020-03-19 |
| 1194351395 | Victoria Wright | Hearing Instrument Specialist | 15880 S La Grange Rd Ste D09, Orland Park, IL 60462-4702 | 2020-03-19 |
| 1801428313 | Grant Matthew O'bryan | Hearing Instrument Specialist | 3718 Broadway St, Quincy, IL 62305-2822 | 2020-02-12 |
| 1255963278 | William B Hays | Hearing Instrument Specialist | 1130 E Main St Ste B, Carbondale, IL 62901-3122 | 2020-02-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.