Robert E Clark (NPI# 1033372727, PAC ID# 9537309711) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1033372727 |
| PAC ID by PECOS | 9537309711 |
| Professional Enrollment ID | I20130711000493 |
| Full Name | Robert E Clark |
| Organization Legal Name | DIGESTIVE DISEASE CONSULTANTS LTD |
| Address |
422 W White St Clinton IL 61727-2272 |
| Phone Number | 3094545900 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 0143216630 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140127 | ADVOCATE BROMENN MEDICAL CENTER |
| 141303 | WARNER HOSPITAL AND HEALTH SERVICES |
| 140162 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 422 W White St, Clinton, IL 61727-2272 | 3094545900 | DIGESTIVE DISEASE CONSULTANTS LTD |
| 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 | 3094545900 | DIGESTIVE DISEASE CONSULTANTS LTD |
| Organization Legal Name | DIGESTIVE DISEASE CONSULTANTS LTD |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijay Laxmi Misra | Gastroenterology | Digestive Disease Consultants Ltd | 101 S Major, Eureka, IL 61530-1246 |
| Kenneth R Schoenig | Gastroenterology | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Amiy J Stites | Physician Assistant | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Thomas M Deweert | Gastroenterology | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Philip M Koszyk | Gastroenterology | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Brooke Davis | Nurse Practitioner | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Normal, IL 61761-3595 |
| Street Address |
422 W WHITE ST |
| City | CLINTON |
| State | IL |
| Zip | 61727-2272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annilee Rohrscheib | Internal Medicine | City of Clinton | 422 W White St, Clinton, IL 61727-2272 |
| Rana H Mahmood | Neurology | Decatur Neurological Associates Ltd | 422 W White St, Clinton, IL 61727-2272 |
| Michael M Raso | Emergency Medicine | City of Clinton | 422 W White St, Clinton, IL 61727-2272 |
| Mohammad Hasnain | Nephrology | Decatur Memorial Hospital | 422 W White St, Clinton, IL 61727-2272 |
| Danielle Oros | Nurse Practitioner | City of Clinton | 422 W White St, Clinton, IL 61727-2272 |
| Russell L Mcelveen | Cardiac Surgery | City of Clinton | 422 W White St, Clinton, IL 61727-2272 |
| Todd C Zisholtz | Emergency Medicine | City of Clinton | 422 W White St, Clinton, IL 61727-2272 |
| Muhammad Mustansar Qureshi | Nephrology | Decatur Memorial Hospital | 422 W White St, Clinton, IL 61727-2272 |
| Danna E Powers | Nurse Practitioner | City of Clinton | 422 W White St, Clinton, IL 61727-2272 |
| Patrick B Murphy | Interventional Cardiology | Prairie Cardiovascular Consultants Ltd | 422 W White St, Dr John Warner Hosp, Clinton, IL 61727-2272 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald Ray Gordon | Optometry | 125 W Main St, Clinton, IL 61727-1611 | |
| Ryan Michael Connelly | Chiropractic | Clinton Chiropractic Center, Inc | 203 E Side Sq, Clinton, IL 61727-1655 |
| Jared D Mearida | Physical Therapy | Ivyrehab Physical Therapy Pllc | 204 E Washington St, Clinton, IL 61727-1715 |
| Joseph A Fiore | Physical Therapy | Ivyrehab Physical Therapy Pllc | 204 E Washington St, Clinton, IL 61727-1715 |
| Harold B Allen | Chiropractic | 204 W Main St, Clinton, IL 61727-1816 | |
| Stephanie A Cluver | Chiropractic | 211 S Quincy St, Clinton, IL 61727-1953 | |
| Paul Francis Hughes | Physical Therapy | 100 S Ctr St, Suite 201, Clinton, IL 61727-1958 | |
| Steven W Yeschek | Podiatry | Cortese Foot and Ankle Clinic PC | 422 W White, Clinton, IL 61727-2272 |
| Timothy J Williams | Family Medicine | City of Clinton | 422 W White St, Clinton, IL 61727-2272 |
| Gregory V Guard | Internal Medicine | City of Clinton | 422 W White St, Clinton, IL 61727-2272 |
| Find all physicians in zip 61727 | |||
| City | CLINTON |
| Zip Code | 61727 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CLINTON + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Robert E 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.