DR. GREGORY CLARKE (NPI# 1609996420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609996420 |
| Entity Type | Individual |
| Full Name | DR. GREGORY CLARKE |
| Credential | M.D. |
| Practice Address |
333 N Michigan Ave Suite 2014 Chicago IL 60601-3901 |
| Mailing Address |
Po Box 802080 Chicago IL 60680-2080 |
| Practice Telephone | 3122363175 |
| Practice Fax Number | 3122633177 |
| Mailing Telephone | 3122363175 |
| Mailing Fax Number | 3122363177 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2010-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-071641 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568569895 | Gregory D Clarke | Emergency Medicine | 4522 Maccorkle Ave, Se, Suite 3, Charleston, WV 25314 | 2006-09-20 |
| 1851353007 | Gregory R Clarke | Optometrist | 4109 W Genesee Street, Empire Vision Centers, Syracuse, NY 13219 | 2006-04-04 |
| 1881671766 | Gregory Clarke | Internal Medicine | 2123 Auburn Ave, Suite 138, Cincinnati, OH 45219-2906 | 2005-12-30 |
| Street Address |
333 N MICHIGAN AVE SUITE 2014 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747513 | Darryl L Pure | Psychologist | 333 N Michigan Ave, Suite 2120, Chicago, IL 60601-3901 | 2005-08-16 |
| 1922631449 | Fran Weinstock | Psychologist | 333 N Michigan Ave, Suite 614, Chicago, IL 60601 | 2020-02-13 |
| 1255895702 | Angela Derrick, Ph.d., LLC | Psychologist | 333 N Michigan Ave, Suite 1900, Chicago, IL 60601 | 2019-01-29 |
| 1821506098 | Melissa Ann St Jean | Counselor | 333 N Michigan Ave, Chicago, IL 60601-3901 | 2018-01-22 |
| 1093252835 | Lindsay Birchfield | Dietitian, Registered | 333 N Michigan Ave, Floor 19 Insight Behavioral Health, Chicago, IL 60601-3901 | 2017-01-31 |
| 1083151443 | Gina Picchiotti | Psychologist | 333 N Michigan Ave, 1900, Chicago, IL 60601-3901 | 2017-01-24 |
| 1043754567 | Chicago Compass Counseling, LLC | Counselor | 333 N Michigan Ave, Chicago, IL 60601-3901 | 2016-12-19 |
| 1295270742 | Insight:eating Disorders, Weight Management and Psychological Centers | Clinic/Center | 333 N Michigan Ave, Suite 1900, Chicago, IL 60601-3901 | 2016-12-19 |
| 1255874376 | Erc/insight | Clinic/Center | 333 N Michigan Ave, Suite 1900, Chicago, IL 60601-3901 | 2016-11-21 |
| 1912440264 | Insight Behavioral Health Centers | Clinic/Center | 333 N Michigan Ave, Suite 1900, Chicago, IL 60601-3901 | 2016-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811527013 | Chicago Center for Advanced Dentistry | Dentist | 222 N Lasalle St 230, Chicago, IL 60601 | 2020-01-16 |
| 1689131146 | Nicole Lauren Rothman | Social Worker | 155 N Michigan Ave Ste 500a, Chicago, IL 60601 | 2019-02-20 |
| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1871119172 | Irina Komissarova | Internal Medicine | 916 S Oakley Blvd, Chicago, IL 60612-4230 | 2020-06-22 |
| 1336760719 | Arslan Zahid | Internal Medicine | 5847 S Maryland Ave, Chicago, IL 60637-1463 | 2020-04-27 |
| 1104447572 | Nirmal Desai | Internal Medicine | 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2020-04-27 |
| 1467072447 | Justin Edmond Sipiora | Internal Medicine | 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 | 2020-04-20 |
| 1003449612 | Eoht LLC | Internal Medicine | 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 | 2020-02-21 |
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| 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.