CONCETTA M CLARK (NPI# 1770809659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770809659 |
| Entity Type | Individual |
| Full Name | CONCETTA M CLARK |
| Credential | M.A. |
| Practice Address |
426 Roosevelt Rd Glen Ellyn IL 60137-5611 |
| Practice Telephone | 6304696061 |
| Mailing Telephone | 6304696061 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 147.000791 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
426 ROOSEVELT RD |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295388577 | Sarah Kristin Dyke | Audiologist | 430 Pennsylvania Ave Ste 320, Glen Ellyn, IL 60137-4464 | 2019-07-16 |
| 1740332659 | Linda A. Burba | Audiologist | 487 Pennsylvania Ave, Glen Ellyn, IL 60137-4403 | 2007-01-18 |
| 1124513890 | Hartman Hearing Group, Inc. | Audiologist | 487 Pennsylvania Ave, Glen Ellyn, IL 60137-4403 | 2018-06-26 |
| 1235554379 | Sejal Kuvadia | Audiologist | 487 Pennsylvania Ave, Glen Ellyn, IL 60137-4403 | 2014-02-26 |
| 1962788893 | Brienne L Honan | Audiologist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2011-10-24 |
| 1164659769 | Kristen E Streid | Audiologist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137 | 2009-06-22 |
| 1326274069 | Laura A Weese | Audiologist | 430 Pennsylvania Ave Ste 330, Glen Ellyn, IL 60137-4464 | 2009-06-09 |
| 1407095854 | Jeanne P. Perkins | Audiologist | 487 Pennsylvania Ave, Glen Ellyn, IL 60137-4403 | 2009-02-09 |
| 1548407471 | Audiologic Services, Ltd. | Audiologist | 487 Pennsylvania Ave, Glen Ellyn, IL 60137-4403 | 2009-01-14 |
| 1518118983 | Debbie Kuhn | Audiologist | 386 Pennsylvania Ave, Glen Ellyn, IL 60137-4323 | 2008-10-03 |
| Find all providers in GLEN ELLYN | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
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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.