CLIFTON CLARKE (NPI# 1205849015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205849015 |
| Entity Type | Individual |
| Full Name | CLIFTON CLARKE |
| Credential | MD |
| Practice Address |
500 E 51st St Chicago IL 60615-2400 |
| Mailing Address |
4923 S Greenwood Ave Chicago IL 60615-2815 |
| Practice Telephone | 3125721202 |
| Mailing Telephone | 3125722657 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
IL | Allopathic & Osteopathic Physicians | |
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790992147 | Clifton Peterray Clarke | Occupational Therapist | 4707 Thistle Hill Dr, Aberdeen, MD 21001 | 2007-05-16 |
| Street Address |
500 E 51ST ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919061 | Clyniece Lois Watson | Pediatrics | 500 E 51st St, Department of Pediatrics, Chicago, IL 60615-2400 | 2006-02-06 |
| 1598379430 | Chidinma Nwokocha | Nurse Practitioner | 500 E 51st St, Chicago, IL 60615-2400 | 2020-09-08 |
| 1235760224 | Cook County | Family Medicine | 500 E 51st St, Chicago, IL 60615-2400 | 2020-01-29 |
| 1013489814 | Margaret Hennessy | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2018-12-19 |
| 1477021913 | Cook County | Clinic/Center | 500 E 51st St, Chicago, IL 60615-2400 | 2018-11-02 |
| 1487135208 | Dianna Denise Hilson | Nurse Practitioner | 500 E 51st St, Chicago, IL 60615-2400 | 2018-08-29 |
| 1497271571 | Colleen Minnie Hallinan | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2017-08-20 |
| 1184171159 | Charlia Arbo | Pharmacist | 500 E 51st St, 430 East 50th Place, Chicago, IL 60615-2400 | 2016-09-07 |
| 1205204542 | Bria Jena Mays | Occupational Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2015-09-03 |
| 1891194643 | Mark Lower | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2014-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588970933 | Farbod Ghods | Internal Medicine | 5841 S Maryland Ave # Mc6026, Chicago, IL 60637-1447 | 2010-08-24 |
| 1588984454 | James M Walter | Internal Medicine | 240 East Huron, Mcgaw M-300, Chicago, IL 60611 | 2010-06-02 |
| 1972829240 | Devon Wayne Paul | Internal Medicine | 1414 S Fairfield Ave, Chicago, IL 60608 | 2010-04-12 |
| 1538346200 | Irtaza Iqbal Khan | Internal Medicine | 2626 N Lakeview Ave Apt 1003, Chicago, IL 60614-1811 | 2008-01-24 |
| 1528242682 | Sherene Sami Fakhran | Internal Medicine | 240 E. Huron, Mcgaw Pavillion, Suite M-360, Chicago, IL 60611 | 2007-12-26 |
| 1255483897 | Jason Thomas Poston | Internal Medicine | 5841 S Maryland Ave Ste Mc6076, Chicago, IL 60637-1626 | 2007-01-16 |
| 1609937432 | Jeffrey Randall Jacobson | Internal Medicine | 909 South Wolcott Avenue, 3141 Comrb, Chicago, IL 60612-3725 | 2006-12-13 |
| 1396839973 | Yaakov Friedman | Internal Medicine | Provident Hospital, 500 . 51 Street, Chicago, IL 60615-2400 | 2006-10-03 |
| 1669574299 | Jyothi Jolepalem | Internal Medicine | 1500 South California Ave, Sinai Medical Group Dept. of Pulmonary & Critical Care, Chicago, IL 60608-1797 | 2006-09-03 |
| 1265451397 | Babak Mokhlesi | Internal Medicine | University of Chicago Hospitals, 5841 S. Maryland Ave, Mc 6026, Chicago, IL 60637 | 2006-07-19 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.