DR. KIRBY P CLARK


Address: 660 N Westmoreland Rd, Lake Forest, IL 60045-1659
Phone: 8475357480

DR. KIRBY P CLARK (NPI# 1407893795) 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) 1407893795
Entity Type Individual
Full Name DR. KIRBY P CLARK
Credential M.D.
Practice Address 660 N Westmoreland Rd
Lake Forest
IL 60045-1659
Mailing Address 1275 E Belvidere Rd Ste 200
Grayslake
IL 60030-2083
Practice Telephone 8475357480
Mailing Telephone 8475357480
Mailing Fax Number 8479684311
Enumeration Date 2006-06-02
Last Update Date 2018-01-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
036126457 IL Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
42049-20 WI Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
35956 IA Allopathic & Osteopathic Physicians

Other Providers KIRBY CLARK

NPI Name Taxonomy Address Enumeration
1447288311 Kirby Dwight Clark Family Medicine Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 2006-06-29

Office Location

Street Address 660 N WESTMORELAND RD
City LAKE FOREST
State IL
Zip Code 60045-1659

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588661318 Regis J Weiss Obstetrics & Gynecology 660 N Westmoreland Rd, Suite 306, Lake Forest, IL 60045-1659 2005-07-07
1508377532 Meghan Strand Physician Assistant 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 2017-10-17
1538689864 Amanda D Froeming Physician Assistant 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 2017-06-27
1639608409 Kristin Rae Elinski Physician Assistant 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 2017-06-06
1386173235 Erika L Tait Physician Assistant 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 2017-06-05
1437685252 Melissa Kathryn Demiglio Physician Assistant 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 2017-05-11
1891231312 Jill Alden Clinical Nurse Specialist 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 2017-01-07
1588108203 Sarah Latoria Nurse Practitioner 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 2016-12-14
1184172488 Ken Dizon Registered Nurse 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 2016-09-14
1194182949 Meagan Reitz Physician Assistant 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 2016-01-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851931109 Spine & Wellness Clinic, Inc. Chiropractor 775 N Bank Lane Suite 101, Lake Forest, IL 60045 2020-01-14
1184278640 Mary Belluomini Dipietro Dietitian, Registered 1000 North Westmoreland Rd., Lake Forest, IL 60045 2019-08-01
1336621747 Brook Elizabeth Orvis Physical Therapist 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 2018-08-31
1336621028 Michelle Nebel Audiologist 225 East Deerpath, Suite 223, Lake Forest, IL 60045 2018-08-30
1467951731 Devan Keesling Audiologist 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 2018-02-01
1023516796 Walgreen Co Durable Medical Equipment & Medical Supplies 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 2018-01-29
1275056780 Karen Elizabeth Cohen Counselor 1331 S. Estate Lane, Lake Forest, IL 60045 2017-07-18
1497281711 Caroline Connors Speech-Language Pathologist 660 Westmoreland Road, Lake Forest, IL 60045 2017-05-05
1013453406 Katie L Konopacz Nurse Practitioner 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 2017-01-10
1225424575 Sean Robert Wessel Internal Medicine 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 2015-04-14
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548457955 Roee Lazebnik Radiology 275 N Field Dr, Lake Forest, IL 60045-2579 2007-09-29
1194741389 Dana A Gray Radiology 660 N Westmoreland Rd Dept Of, Lake Forest, IL 60045-1659 2006-07-14
1194724542 Unique Medical Imaging Sc Radiology 840 S Waukegan Rd, Suite 214, Lake Forest, IL 60045-2608 2005-07-19
1083103006 Reza Dehdari Md Inc Radiology 22972 El Toro Rd, Lake Forest, CA 92630-4961 2018-05-04
1972846236 Lioubov Soulii Radiology 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 2013-04-04
1184987356 Saudur Rahman Radiology 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 2012-06-21
1063778462 Ramanujam Govindarajan Prativadi Radiology 1000 N Westmoreland Rd, Radiology Department, Lake Forest, IL 60045-1658 2012-04-10
1205102019 Firas Ramahi Radiology 1000 N Westmoreland Rd, Lake Forest, IL 60045 2012-03-26
1215101712 Steven C Sauk Radiology 1000 N Westmoreland Rd, Lake Forest, IL 60045 2008-04-15
1467656041 Deepa Nonesupplied Popuri Radiology 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 2007-06-14
Find all providers in LAKE FOREST

Competitor

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City LAKE FOREST
Zip Code 60045

Improve Information

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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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