IndividualActive
Jeffrey Clark, HEARING SPECIALIST
NPI 1134535248 · Hearing Instrument Specialist · Minooka, IL
Provider details
- NPI number
- 1134535248
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Credential
- HEARING SPECIALIST
- Sex
- Male
- Sole proprietor
- No
- License
- 2917 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
123 E Mondamin St
Minooka, IL 60447-9896
Phone: (815) 790-3741
Approximate (ZIP-level) locationGet directions
Mailing address
123 E Mondamin St # 11
Minooka, IL 60447-9896
Additional practice locations (1)
- 123 E Mondamin StMinooka, IL 60447-9896Phone: (815) 255-2888Fax: (815) 255-2963
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2023-08-18
- Certified
- 2023-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.