Stephen J Clark (NPI# 1538123385, PAC ID# 4789630880) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1538123385 |
| PAC ID by PECOS | 4789630880 |
| Professional Enrollment ID | I20050919000437 |
| Full Name | Stephen J Clark |
| Organization Legal Name | STEPHEN J. CLARK M.D.,P.C. |
| Address |
3021 Falling Waters Blvd Suite A Lindenhurst IL 60046-6745 |
| Phone Number | 8473569300 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2466408554 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 | 8473569300 | STEPHEN J. CLARK M.D.,P.C. |
| Organization Legal Name | STEPHEN J. CLARK M.D.,P.C. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Senf | Physician Assistant | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd A, Lindenhurst, IL 60046-6793 |
| Christine F Kharasch | Family Medicine | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 |
| Samantha K Josen | Physician Assistant | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 |
| Andrew R Prelletz | Physician Assistant | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 |
| Kelly M Vinson | Physician Assistant | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 |
| Christine Ann Wyszomirski | Physician Assistant | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 |
| Street Address |
3021 FALLING WATERS BLVD SUITE A |
| City | LINDENHURST |
| State | IL |
| Zip | 60046-6745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Rivera | Physical Therapy | Ivyrehab Physical Therapy Pllc | 3021 Falling Waters Blvd, Suite C, Lindenhurst, IL 60046-6745 |
| Christine F Kharasch | Family Medicine | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 |
| Samantha K Josen | Physician Assistant | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 |
| Andrew R Prelletz | Physician Assistant | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 |
| Kelly M Vinson | Physician Assistant | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 |
| Eriks Zusevics | Physical Therapy | Ivyrehab Physical Therapy Pllc | 3021 Falling Waters Blvd, Suite C, Lindenhurst, IL 60046-6745 |
| Richard A Hartmann | Physical Therapy | Ivyrehab Physical Therapy Pllc | 3021 Falling Waters Blvd, Suite C, Lindenhurst, IL 60046-6745 |
| Christine Ann Wyszomirski | Physician Assistant | Stephen J. Clark M.d.,p.c. | 3021 Falling Waters Blvd, Suite A, Lindenhurst, IL 60046-6745 |
| Ryan K Bagley | Physical Therapy | North Suburban Physical Therapy, P.C. | 3021 Falling Waters Blvd, Suite B, Lindenhurst, IL 60046-6793 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Dickstein | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Craig A Davishoff | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Neil H Puller | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Lauren T Gruber | Physical Therapy | Illinois Bone and Joint Institute LLC | 1025 Red Oak Ln, Suite 100, Lindenhurst, IL 60046-5017 |
| Elina Shapiro | Physical Therapy | Illinois Bone and Joint Institute LLC | 1025 Red Oak Ln, Suite 100, Lindenhurst, IL 60046-5017 |
| Scott Anthony Jacobsen | Podiatry | Illinois Bone and Joint Institute LLC | 1025 Red Oak Ln, Suite 100, Lindenhurst, IL 60046-5017 |
| Catherine M Goodale | Nurse Practitioner | Waukegan Clinic Corp | 1025 Red Oak Ln, Suite 120, Lindenhurst, IL 60046-5017 |
| Spring Evans | Physical Therapy | Adult and Pediatric Orthopedics, S.c | 50 S Milwaukee Ave, Suite 201, Lake Villa, IL 60046-5426 |
| Jeffrey B Wells | Chiropractic | Advanced Chiropractic and Acupuncture Center | 2450 E Grasslake Rd D, Lindenhurst, IL 60046-5607 |
| Lawrence G Needham | Chiropractic | 1512 N Cedar Lake Rd, Lake Villa, IL 60046-6404 | |
| Find all physicians in zip 60046 | |||
| City | LINDENHURST |
| Zip Code | 60046 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LINDENHURST + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stephen J Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.