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Patricia Clark MD LLC

NPI 1134477169ActiveOrganization· Surgery· Homer Glen, IL

Surgery in Homer Glen, Illinois, registered in NPPES in August 2012. The authorized official on file is Patricia L. Clark, M.D., President.

Overview

NPI1134477169
StatusActive
Entity typeOrganization
NPI issuedAug 23, 2012
Last updated in NPPESAug 23, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000X03611578IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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