Aleta V Clark
M.D. | Pediatric Adolescent Medicine | Female
Aleta V Clark, M.D. is a Chicago, Illinois based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine. Aleta V Clark is also known as
Aleta V Pullins.
Current practice location of Aleta V Clark is
1030 N Clark St, Suite 400, Chicago, Illinois - 60610-5467. She can be contacted on phone at
312-943-6964 and fax number 312-943-6924.
Aleta V Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Aleta V Clark is
1548269814 which was assigned by NPPES on 19 Jul, 2005 and it was last updated on 25 Nov, 2009.
Aleta V Clark license number is
036051208 for Pediatrics Adolescent Medicine (2080A0000X) in Illinois.
Aleta V Clark specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Aleta V Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Aleta V Clark |
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| Other Name : | Aleta V Pullins |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Aleta V Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1030 N Clark St, Suite 400
Chicago, IL, 60610-5467
United States |
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| Phone Number : | 312-943-6964 |
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| Fax Number : | 312-943-6924 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1548269814 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jul, 2005 |
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| Last Updated On : | 25 Nov, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Aleta V Clark are as mentioned. Primary taxonomy code for Aleta V Clark, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 036051208 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Aleta V Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036051208 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 189
Matteson, IL, 60443-0189
United States |
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| Phone Number : | 708-747-5850 |
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| Fax Number : | 708-747-9991 |
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Business Location:
Patients can refer following map for directions to
Aleta V Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.