MS. LUCINDA JEANNE CLARK (NPI# 1598870016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598870016 |
| Entity Type | Individual |
| Full Name | MS. LUCINDA JEANNE CLARK |
| Credential | NPC |
| Practice Address |
11231 Distinctive Dr Orland Park IL 60467-9458 |
| Mailing Address |
Po Box 379 Orland Park IL 60462-0379 |
| Practice Telephone | 7084609833 |
| Practice Fax Number | 7084601117 |
| Mailing Telephone | 7084609833 |
| Mailing Fax Number | 7084601117 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
041261308 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 041261308 | 05 |
| Street Address |
11231 DISTINCTIVE DR |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467-9458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649228701 | Nathan R Jaisingh | Registered Nurse | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2006-05-04 |
| 1578030151 | Amanda Kay Amiti | Psychiatry & Neurology | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2018-10-31 |
| 1740701036 | Gina Smith | Counselor | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2017-06-28 |
| 1225493364 | Gail D Lemon | Registered Nurse | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2015-12-16 |
| 1578812202 | Mary Fisk | Counselor | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2012-09-10 |
| 1114298148 | Michelle Mannino-purkey | Marriage & Family Therapist | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2012-01-23 |
| 1336472943 | Michelle Renee Myers | Clinical Neuropsychologist | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2009-09-14 |
| 1457528747 | Amy Pawlowski | Social Worker | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2008-05-15 |
| 1013118413 | Benchmark Psychiatric Services, Ltd. | Nurse Practitioner | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2007-05-31 |
| 1740335975 | Mary B. Wells | Nurse Practitioner | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
| 1144597758 | Susan Marie Ryan | Nurse Practitioner | 15506 Canterbury Ln, Orland Park, IL 60462-4982 | 2011-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
| 1932699345 | Yeyin Yi | Nurse Practitioner | 804 N Delphia Ave, Park Ridge, IL 60068-2518 | 2018-05-11 |
| Find all providers with the same taxonomy | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
Please comment or provide details below to improve the information on MS. LUCINDA JEANNE CLARK.
| 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.