MICHAEL CLARK (MD) – Internal Medicine Physician, NPI 1033185434

MICHAEL CLARK (MD) is a healthcare provider. based in Maywood, Illinois. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 36080197 (IL). The NPI Number for MICHAEL CLARK (MD) is 1033185434

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL CLARK (MD)
NPI
1033185434
Phone
(708) 216-9000
Address
2160 S 1ST AVE
Enumeration Date
24 February 2006
Last Update Date
24 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082169000
Graduation Year
1987 (39 years ago)
PAC ID
6204978786
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20100121000475

Contacts

Secure Messaging
mclark21410@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MICHAEL CLARK (MD)

  • 2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States

    101-1740 LOYOLA UNIVERSITY MEDICAL CENTER

    MAYWOOD, IL 60153

    Phone: (708) 216-9000

    Fax: (708) 216-9033

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2023-04-10 • Largest payer in this snapshot: Medtronic, Inc. ($60).

Total Amount

$60

General + Research + Ownership

Payments

2

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$60
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60153)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779488903View full group profile

Reviews

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Frequently asked questions

What is MICHAEL CLARK (MD)'s NPI number?
MICHAEL CLARK (MD)'s NPI is 1033185434 — the number used across U.S. healthcare to identify this provider.
Would MICHAEL CLARK (MD) appear as active to a payer?
You can treat MICHAEL CLARK (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MICHAEL CLARK (MD)'s focus?
For MICHAEL CLARK (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL CLARK (MD)?
Travel planning: use Maywood, Illinois as the reference point for MICHAEL CLARK (MD), then confirm.
When was this NPI issued?
Enumeration for MICHAEL CLARK (MD) is noted as February 24, 2006 where the registry provides it.

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