OrganizationActive
Daniel L Clark DO Ltd
NPI 1093893117 · Family Medicine Physician · Lockport, IL
Provider details
- NPI number
- 1093893117
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Clark, President(815) 838-0052
- License
- 036071157 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14831 W 159th St
Harris Bank Building
Lockport, IL 60491
Phone: (815) 838-0052
Fax: (815) 838-4410
Street-level locationGet directions
Mailing address
14831 W 159th St
Lockport, IL 60491
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.