Kendrick Terrill Clack, FNP-C is a family nurse practitioner in Chicago, IL. Kendrick Terrill Clack, FNP-C NPI is 1730597659. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
641 W 63RD ST
CHICAGO, IL
ZIP 60621-032
Phone: (773) 388-1600
Fax: (773) 783-8197
The NPI 1730597659 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/23/2014 and was last updated on 2/23/2017.