Daniel L Clark Do Ltd
Daniel L Clark Do Ltd is a healthcare organization registered as Family Medicine Physician in Lockport, IL, holding Type 2 (organization) NPI 1093893117 since 2006. The authorized official on file is Daniel Clark, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093893117 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Daniel L Clark Do Ltd |
| Practice address | 14831 W 159TH ST, HARRIS BANK BUILDING, Lockport, IL, 60491 |
| Phone | 8158380052 |
| Fax | 8158384410 |
| Enumeration date | 2006-11-02 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Daniel Clark |
|---|---|
| Title | President |
| Phone | 8158380052 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 036071157 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0991512865 | Other | — | BCBS |
Copy-ready billing details
Provider: Daniel L Clark Do Ltd NPI: 1093893117 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 14831 W 159TH ST, HARRIS BANK BUILDING, Lockport, IL, 60491
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497833511 | Daniel Clark | Individual | Family Medicine Physician | Lockport, IL |
| 1790843399 | Angela Venegoni | Individual | General Practice Dentistry | Homer Glen, IL |
Verify this record
Cross-check NPI 1093893117 against the authoritative CMS record: view Daniel L Clark Do Ltd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Daniel L Clark Do Ltd?
What is the NPI number for Daniel L Clark Do Ltd?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.