Gregory Clarke M.D., S.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036-071641 Issued in IL

Legal business name

GREGORY CLARKE M.D., S.C.

Practice address

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

Phone

(312) 236-3175

Fax

(312) 236-3177

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Gregory Clarke, M.D.

Title

President/Owner

Phone

(312) 236-3175

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1881903789",
    "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": "312-236-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY CLARKE M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "312-236-3175",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036-071641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia M. Gregor, PSY.D.
• Gregorio R Aglipay MDSC
• Gregorio Rosenstein, M.D.
• Gregory a Wiener MD SC
• Gregory Bulava MD LTD
• Gregory Emergency Physicians
• Gregory J Harms LLC
• Gregory L. Weathers, DDS, PC
• Gregory P Thomas, DDS, MD,P.C. (Chicago Oral & Maxillofacial Surgery)
• Gregory Potts LCSW LLC

• Medical Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.