CLARK MCCLURKIN (M.D.) – Nephrology Physician, NPI 1184604282

CLARK MCCLURKIN (M.D.) is a healthcare provider. based in Evergreen park, Illinois. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 036078948 (IL). The NPI Number for CLARK MCCLURKIN (M.D.) is 1184604282

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
CLARK MCCLURKIN (M.D.)
NPI
1184604282
Phone
(708) 952-3040
Address
9730 S WESTERN AVE
Enumeration Date
17 January 2006
Last Update Date
22 November 2024

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7739953000
Graduation Year
1984 (42 years ago)
PAC ID
5092619783
Group Practice PAC ID
9133023963
Professional Enrollment ID
I20040202000921
Address ID
IL606284200CH45XXXSTXX400

Contacts

Secure Messaging
cmcclurkin281484@direct.myadvocateaurora.org
FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

629 NEPHROLOGY in IL

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Provider Addresses for CLARK MCCLURKIN (M.D.)

  • South Western Avenue, Beverly, Evergreen Park, Lake Township, Cook County, Illinois, 60643, United States

    SUITE 326

    EVERGREEN PARK, IL 608052814

    Phone: (708) 952-3040

    Fax: (708) 952-3043

    Type: Location

  • The Edge Lofts and Tower, 210, South Desplaines Street, Greektown, Near West Side, University Village/Little Italy, Chicago, Cook County, Illinois, 60661, United States

    CHICAGO, IL 606615500

    Phone: (312) 654-2700

    Fax: (312) 654-9930

    Type: Mailing

  • 10801 S WESTERN AVE STE 201

    CHICAGO, IL 606433225

    Phone: (773) 770-4824

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,666.

Total Amount is formed as General ($1,666) + Research ($0) + Ownership ($0) = $1,666.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($1,154).

Total Amount

$1,666

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,666

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040202000921INephrologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90960Dialysis services, 4 or more physician visits per month (20 years or older)47784$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes20474$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)12852$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7538$0
99215Established patient office or other outpatient visit, 40-54 minutes7524$0
View full utilization report →

Insurance plans in this area (ZIP 60805)

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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: 9133023963View full group profile
NameSpecialtyState
Nephrology, Internal MedicineIL
-IL
N E P H R O L O G YIL
-IL
-IL
-IL
-IL
Nephrology, Internal MedicineIL
Nephrology, Internal MedicineIL
Internal Medicine, NephrologyIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for CLARK MCCLURKIN (M.D.)?
CLARK MCCLURKIN (M.D.) — NPI 1184604282 — is the standard way to identify this listing.
Does CMS list CLARK MCCLURKIN (M.D.) as active?
Yes — CLARK MCCLURKIN (M.D.) is active in the NPI listing used on this page.
What healthcare role does CLARK MCCLURKIN (M.D.) hold?
Scheduling teams often label CLARK MCCLURKIN (M.D.) under Nephrology Physician. Clinical services aligned with this taxonomy classification.
What area does CLARK MCCLURKIN (M.D.) serve?
CLARK MCCLURKIN (M.D.)'s listing highlights Evergreen Park, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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