ELIZABETH T. CLARK M.D., R.V.T. – NPI #1487646535
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

ELIZABETH CLARK is a surgeon located in ARLINGTON HEIGHTS, IL. NPPES has assigned the NPI number 1487646535 to ELIZABETH CLARK on August 16, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 11 years ago on Apr 24, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELIZABETH CLARK below.

NPI Profile for
ELIZABETH T. CLARK

NPI Number
1487646535
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ELIZABETH T. CLARK
Credentials
M.D., R.V.T.
Primary location
1614 W CENTRAL RD
SUITE 100
ARLINGTON HEIGHTS, IL 60005-2490
Phone: (847) 577-5814 Fax: (847) 577-5914
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for ELIZABETH CLARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPIIL1487646535
MEDICAIDIL036-076927-1
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
IL 036-076927

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.