CLAYTON KIRK


Address: 2160 S 1st Ave, Maywood, IL 60153-3328
Phone: 7082166262

CLAYTON KIRK (NPI# 1174011761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174011761
Entity Type Individual
Full Name CLAYTON KIRK
Credential MD
Practice Address 2160 S 1st Ave
Maywood
IL 60153-3328
Practice Telephone 7082166262
Practice Fax Number 7082163557
Mailing Telephone 7082166262
Mailing Fax Number 7082163557
Enumeration Date 2018-04-29
Last Update Date 2019-06-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 125.073543 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2160 S 1ST AVE
City MAYWOOD
State IL
Zip Code 60153-3328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174525489 Michael Jm Raffin Audiologist 2160 S 1st Ave, Maywood, IL 60153-3328 2005-06-01
1366049900 Kenneth Bernard Jordan Psychiatry & Neurology 2160 S 1st Ave, Maywood, IL 60153-3328 2020-10-06
1124634712 Abhilasha Nitin Borkar Pathology 2160 S 1st Ave, Maywood, IL 60153 2020-09-18
1306450325 Linda Ippolito Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-09-08
1194339135 Meghan Henry Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-09-08
1194339911 Victoria Leah Drozd Student in an Organized Health Care Education/Training Program 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-31
1396357588 Madison Schaefer Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-19
1134731375 Otanthia S Williams-brady Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-19
1205454287 Janet Nickels Audiologist 2160 S 1st Ave, Maywood, IL 60153-3328 2020-07-07
1417574054 Kathryn Clemans Nurse Anesthetist, Certified Registered 2160 S 1st Ave, Maywood, IL 60153-3328 2020-06-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053933077 Judie Noemie Hoilat Internal Medicine 2160 S 1st Avenue, Maywood, IL 60153 2020-05-13
1457972457 Yuchen Zheng Student in an Organized Health Care Education/Training Program Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 2020-04-30
1437779519 Amna Amad Siddiqui Student in an Organized Health Care Education/Training Program 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 2020-04-20
1982232211 Brian Kurtz Student in an Organized Health Care Education/Training Program 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 2020-03-31
1902434947 Saadiya Jabbar Psychiatry & Neurology Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 2020-03-27
1558919472 Linda Sue Moton Technician 10 South 15 Apt. 1, Maywood, IL 60153 2019-09-04
1760047518 Braden Robert Dasovic Student in an Organized Health Care Education/Training Program 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 2019-05-07
1134680713 Madeline Shaoyun Tiee Orthopaedic Surgery Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 2019-03-27
1538629746 Michael Murphy Orthopaedic Surgery 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 2019-03-22
1053871681 Michael V Padua Psychiatry & Neurology 2160 S 1st Ave Bldg, Maywood, IL 60153 2019-03-20
Find all providers in zip 60153

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609171982 Javier Antonio Jardon Ophthalmology 4131 Slauson Ave, Maywood, CA 90270-2833 2011-01-19
1548343155 David K Yoo Ophthalmology 2160 S First Ave 101 1740, Loyala University Medical Center, Maywood, IL 60153 2006-10-24
1477116275 Connor James Baharozian Ophthalmology 2160 S 1st Ave, Maywood, IL 60153-3328 2019-04-17
1124581780 Nolan Jesse Adams Ophthalmology 2160 S 1st Ave, Maywood, IL 60153-3328 2019-04-10
1316400328 Sarah Everitt Griffin Ophthalmology 2160 S 1st Ave, Maywood, IL 60153-3328 2019-04-08
1811457666 Vishwaradh Goli Reddy Ophthalmology 2160 S 1st Ave, Maywood, IL 60153-3328 2019-03-20
1336636828 Natalie Narie Chung Ophthalmology 2160 S 1st Ave, Maywood, IL 60153 2018-04-19
1225535669 Erica Michelle Smith Ophthalmology 2160 S 1st Ave, Maywood, IL 60153-3328 2018-04-11
1144750399 Michael Beyer Ophthalmology 2160 S 1st Ave, Maywood, IL 60153 2017-06-19
1326576968 Eric Kim Ophthalmology 2160 S. First Ave, Bldg 102 Room 2606, Maywood, IL 60153 2017-05-26
Find all providers in MAYWOOD

Competitor

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City MAYWOOD
Zip Code 60153

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Dataset Information

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.

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