Jeffrey Clark, HEARING SPECIALIST
Individual provider Active NPI Hearing Instrument Specialist · Minooka, IL
NPI 1134535248 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1134535248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- 2917 (IL)
- Practice address
- 123 E Mondamin St
Minooka, IL 60447-9896 - Phone
- (815) 790-3741
- NPI assigned
- Jul 9, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2917 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Hearing Helpers Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2917 | IL | Yes |
Addresses
Primary practice location
123 E Mondamin St
Minooka, IL 60447-9896
Mailing address
123 E Mondamin St # 11
Minooka, IL 60447-9896
Other practice location 1
123 E Mondamin St
Minooka, IL 60447-9896
Phone (815) 255-2888
Other providers in Minooka, IL
- Alicia Cameron
- Donna Marie Cassella-Johnson
- Jennifer Marie Ceko
- Darren Cissell
- Maggie Clarey
- Zachary Clark
- Cody Corradino
- Daryl L Condon,OD,PC
- Demask Family Medical S.C.
- John Demask
All providers in Minooka, IL · Hearing Instrument Specialist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.