Gregory Clarke, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-071641 Issued in IL

Practice address

333 N Michigan Ave
Suite 2014
Chicago, IL 60601-3901

Phone

(312) 236-3175

Fax

(312) 263-3177

NPI assigned

Mar 29, 2007

Last updated

Apr 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregory Clarke M.D., S.C.

  • Medical Specialty Clinic/Center
  • Chicago, IL
  • NPI 1881903789
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1609996420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802080",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606802080",
            "telephone_number": "312-236-3175",
            "fax_number": "312-236-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE",
            "address_2": "SUITE 2014",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013901",
            "telephone_number": "312-236-3175",
            "fax_number": "312-263-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-071641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aymara Maeve Soicher Clarke, MS
• Brianna Clarke
• Clifton Clarke, MD
• Elizabeth Ellen Clarke, RN
• Ellen Christine Clarke, PA-C
• Jillian Taylor Clarke, LCSW
• John Thomas Clarke, MD
• Julane Clarke, CRNA
• Kaleigh Clarke
• Kelly Clarke, PT, DPT

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.