Sue Clark
MD | Developmental - Behavioral Pediatrics | Female
Sue Clark, MD is a Peoria, Illinois based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Sue Clark is
507 E Armstrong Ave, Regional Development Center, Peoria, Illinois - 61603-3201. She can be contacted on phone at
309-681-6960.
Sue Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Sue Clark is
1174597371 which was assigned by NPPES on 14 Feb, 2006 and it was last updated on 09 Jul, 2007.
Sue Clark is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Sue Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Sue Clark |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Sue 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 : | 507 E Armstrong Ave, Regional Development Center
Peoria, IL, 61603-3201
United States |
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| Phone Number : | 309-681-6960 |
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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 : | 1174597371 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Feb, 2006 |
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| Last Updated On : | 09 Jul, 2007 |
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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 Sue Clark are as mentioned. Primary taxonomy code for Sue Clark, MD is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | | IL |
Legacy Identifiers:
Other legacy medical identifiers of Sue Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| IL01Z4 | Other | IL | JOHN DEERE |
| 07215036 | Other | IL | BCBS |
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 : | 1 Illini Dr
Peoria, IL, 61605-2576
United States |
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| Phone Number : | 309-671-8503 |
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Business Location:
Patients can refer following map for directions to
Sue 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.