Clark Mcclurkin (NPI# 1184604282, PAC ID# 5092619783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1184604282 |
| PAC ID by PECOS | 5092619783 |
| Professional Enrollment ID | I20040202000921 |
| Full Name | Clark Mcclurkin |
| Organization Legal Name | ASSOCIATES IN NEPHROLOGY SC |
| Address |
12935 S Gregory St Blue Island IL 60406-2428 |
| Phone Number | 7085972000 |
| Gender | M |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 9133023963 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140118 | METROSOUTH MEDICAL CENTER |
| 140103 | ST BERNARD HOSPITAL |
| 140068 | ROSELAND COMMUNITY HOSPITAL |
| 140181 | SOUTH SHORE HOSPITAL |
| 140179 | LITTLE COMPANY OF MARY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12250 S Cicero Ave, Suite 105, Alsip, IL 60803-2946 | 7083890955 | ASSOCIATES IN NEPHROLOGY SC |
| 12200 S Western Ave, Suite 120, Blue Island, IL 60406-3507 | 7085979933 | ASSOCIATES IN NEPHROLOGY SC |
| 12935 S Gregory St, Blue Island, IL 60406-2428 | 7085972000 | ASSOCIATES IN NEPHROLOGY SC |
| 2420 E 79th St, Chicago, IL 60649-5112 | 7733749002 | ASSOCIATES IN NEPHROLOGY SC |
| 326 W 64th St, Chicago, IL 60621-3114 | 7739623900 | ASSOCIATES IN NEPHROLOGY SC |
| 326 W 64th St, Suite 203, Chicago, IL 60621-3114 | 7089523040 | ASSOCIATES IN NEPHROLOGY SC |
| 45 W 111th St, Chicago, IL 60628-4200 | 7739953000 | ASSOCIATES IN NEPHROLOGY SC |
| 8012 S Crandon Ave, Chicago, IL 60617-1124 | 7737680810 | ASSOCIATES IN NEPHROLOGY SC |
| 825 W 35th St, Chicago, IL 60609-1511 | 7738904330 | ASSOCIATES IN NEPHROLOGY SC |
| 11630 S Kedzie Ave, Home Fmc Merrionette Pk, Merrionette Park, IL 60803-6302 | 7083899099 | ASSOCIATES IN NEPHROLOGY SC |
| 8910 W 192nd St Stuite Aandb, Mokena, IL 60448-8111 | 7084781815 | ASSOCIATES IN NEPHROLOGY SC |
| 17225 S Paxton, South Holland, IL 60473-3757 | 7084748700 | ASSOCIATES IN NEPHROLOGY SC |
| Organization Legal Name | ASSOCIATES IN NEPHROLOGY SC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fawad Qureshi | Nephrology | Associates In Nephrology Sc | 1545 Hicks Rd, Rolling Meadows, IL 60008-1259 |
| Minhson Bui | Nephrology | Associates In Nephrology Sc | 27750 W Hwy 22, Medical Office Bldg 2 Suite 105, Barrington, IL 60010-2379 |
| Mark Antony Kraus | Nephrology | Associates In Nephrology Sc | 9730 S Western Ave, Gr32, Evergreen Park, IL 60805-2852 |
| Jim J Yao | Nephrology | Associates In Nephrology Sc | 314 Ridge Rd, Munster, IN 46321-1528 |
| Kareen R Simpson | Nephrology | Associates In Nephrology Sc | 14255 S Cicero Ave, Crestwood, IL 60445-2154 |
| Joshua R Trob | Nephrology | Associates In Nephrology Sc | 150 N Weiland Rd, Buffalo Grove, IL 60089-7047 |
| Vinitha Raghavan | Nephrology | Associates In Nephrology Sc | 4811 W 77th St, Burbank, IL 60459-1586 |
| Constantine Delis | Nephrology | Associates In Nephrology Sc | 3000 S Cicero Ave, Cicero, IL 60804-3638 |
| Satya Ahuja | Nephrology | Associates In Nephrology Sc | 825 W 35th St, Chicago, IL 60609-1511 |
| Vijaykumar Rao | Nephrology | Associates In Nephrology Sc | 177 W Joe Orr Rd, Chicago Heights, IL 60411-1733 |
| Street Address |
12935 S GREGORY ST |
| City | BLUE ISLAND |
| State | IL |
| Zip | 60406-2428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary R Peplinski | General Surgery | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Laura M Dean | Physician Assistant | Metro Infectious Disease Consultants LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Luciano Fochesatto Filho | Internal Medicine | Metro Infectious Disease Consultants LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Ravi M Deshmukh | General Surgery | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Ankita Dalal | Family Medicine | Blue Island Clinic Company LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Joseph Kent | Infectious Disease | Metro Infectious Disease Consultants LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Mohamad Barakat | Internal Medicine | Kidney and Hypertension Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Jessica Stoeberl | Physician Assistant | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Humaira Khan | Family Medicine | Blue Island Clinic Company LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Carl W Johnson Iii | General Surgery | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Lucero | Emergency Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Nicole Fitzgerald | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Jennifer Komada | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Rebecca Cummings | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Celeste Mcfarland | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Sheri Nichole Morse | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kristen M Sobol | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kaitlyn Steinberg | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Naomi Shirleen Chinavong | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Fatima Ali Hyder | Internal Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Find all physicians in zip 60406 | |||
| City | BLUE ISLAND |
| Zip Code | 60406 |
| Specialty | NEPHROLOGY |
| City + Specialty | BLUE ISLAND + NEPHROLOGY |
Please comment or provide details below to improve the information on Clark Mcclurkin.
| 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.