Jacob A. Clarke, MD
Internal Medicine · Maywood, IL
UnclaimedMDNPI 1922757541
- Primary taxonomy
- 207R00000X
- Enumerated
- 2022-03-21
- Practice location
- Maywood, IL
- Last NPPES update
- 2022-06-02
State licenses
- IL · Physician · NPPES self-reportedListed on NPI record
- IL · Resident physician · TEMPORARY MEDICAL PERMITExpiredthrough 2025
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.