RICHARD R. CLARK (NPI# 1023042470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023042470 |
| Entity Type | Individual |
| Full Name | RICHARD R. CLARK |
| Credential | M.D. |
| Practice Address |
1475 E Belvidere Rd Unit 385 Grayslake IL 60030-2026 |
| Practice Telephone | 8475358000 |
| Mailing Telephone | 8475358000 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 003-036-082187-0 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 38607 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366922684 | Richard Sheldon Clark | Counselor | 311 Penny Dr, Lithopolis, OH 43136-9704 | 2018-08-16 |
| 1871929000 | Richard H Clark | Chiropractor | 462 Warren Rd, Franklin, PA 16323-6544 | 2013-09-19 |
| 1770831901 | Richard Clark | Counselor | 2902 Jack Pine St, Bellevue, NE 68123-5519 | 2012-08-20 |
| 1285866079 | Richard C Clark IIi | Counselor | 800 Pineview Dr, Hattiesburg, MS 39401-7459 | 2009-08-13 |
| 1134318140 | Richard S Clark | Marriage & Family Therapist | 2801 Summit St Apt 307, Oakland, CA 94609-3643 | 2007-10-16 |
| 1942249545 | Richard James Clark IIi | Dentist | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 | 2006-06-06 |
| 1699744011 | Richard C Clark | Physical Therapist | 4909 Nolensville Rd, Nashville, TN 37211-5411 | 2006-03-16 |
| 1528059565 | Richard K Clark | Optometrist | 810 Ne 25th Ave, Ocala, FL 34470-6335 | 2005-10-31 |
| 1053316364 | Richard Don Clark | Family Medicine | 802 Wayne St, Ste 202, Marietta, OH 45750-3300 | 2005-06-15 |
| 1962406793 | Richard Gary Clark | Emergency Medicine | 100 S Duncan St, Jamestown, TN 38556-3009 | 2005-06-09 |
| Street Address |
1475 E BELVIDERE RD UNIT 385 |
| City | GRAYSLAKE |
| State | IL |
| Zip Code | 60030-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396249561 | Jasser Khairallah | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030 | 2018-03-21 |
| 1942704507 | Samuel John Randall | Student in an Organized Health Care Education/Training Program | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2018-03-20 |
| 1811491236 | Whitney Vuong | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030 | 2018-03-20 |
| 1740784552 | Christina Salazar | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030 | 2018-03-19 |
| 1891298626 | Kajal Patel | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2018-03-18 |
| 1669975454 | Brittney Nowicki | Student in an Organized Health Care Education/Training Program | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2018-03-17 |
| 1841793627 | Alicia Pereslucha | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030 | 2018-03-17 |
| 1285097113 | Jeevan Abraham | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2016-03-29 |
| 1770974776 | Prince Nzeata | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2015-02-11 |
| 1922362623 | Tina Yun Mantanona | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2012-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1992347892 | Pier London | Social Worker | 18640 Belivdere Rd., Grayslake, IL 60030 | 2019-10-11 |
| 1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
| 1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
| 1255850780 | Megan B March | Speech-Language Pathologist | 33089 N Battershall Rd, Grayslake, IL 60030 | 2017-09-15 |
| 1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
| 1184163628 | Surprenant Chiropractic LLC | Clinic/Center | 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 | 2017-02-16 |
| 1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
| 1932560414 | Vital Therapeutics Inc | Physical Therapist | 34121 N Us 45, Suite 101, Grayslake, IL 60030 | 2016-03-11 |
| 1093175804 | Zigma Visiting Physician, LLC | General Practice | 4 N Deer Point Dr, 1002, Hainesville, IL 60030 | 2016-03-07 |
| Find all providers in zip 60030 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
| 1275698110 | Anderson Medical Centers | Family Medicine | 1862 Belvidere Rd, Grayslake, IL 60030-2289 | 2006-12-22 |
| 1891890695 | James H Kim | Family Medicine | 1275 E. Belvidere Rd, Suite 110, Grayslake, IL 60030 | 2006-09-14 |
| 1699751735 | Alison S Holloway | Family Medicine | 1275 E Belvidere Rd, Suite 250, Grayslake, IL 60030 | 2005-12-20 |
| 1598768939 | Kent Kamradt | Family Medicine | 480 S Us Highway 45, Abbvie, Grayslake, IL 60030-3910 | 2005-05-31 |
| 1336600543 | Ryan Mccabe | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-29 |
| 1851851927 | Joyce Marie Jones-king | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-23 |
| 1821558990 | Zahra Qasem | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-23 |
| 1720548472 | Laura Zhang | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-20 |
| 1396204525 | Christopher Michael Rivard | Family Medicine | 1475 E Belvidere Rd, Suite 385, Grayslake, IL 60030-2012 | 2019-03-18 |
| Find all providers in GRAYSLAKE | ||||
Please comment or provide details below to improve the information on RICHARD R. CLARK.
| 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.