IndividualActive
Clark Anderson
NPI 1447783063 · Contractor · Flossmoor, IL
Provider details
- NPI number
- 1447783063
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
19010 Avers Ave
Flossmoor, IL 60422-1017
Phone: (708) 574-0728
Approximate (ZIP-level) locationGet directions
Mailing address
19010 Avers Ave
Flossmoor, IL 60422-1017
Registry dates
- Enumerated
- 2017-04-10
- Last updated
- 2017-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.