MRS. KAREN F. CLARK (NPI# 1699860882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699860882 |
| Entity Type | Individual |
| Full Name | MRS. KAREN F. CLARK |
| Credential | NP |
| Practice Address |
5th Avenue and Roosevelt Road Mail Route 111d3 Hines IL 60141 |
| Practice Telephone | 7082022304 |
| Mailing Telephone | 7082022304 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251276 | Karen Ann Clark | Physical Therapist | 1300 Soldiers Field Rd, Boston, MA 02135-1032 | 2019-12-06 |
| 1902203623 | Karen Clark | Nurse Practitioner | 4124 Kittrell Farms Dr Apt 3, Greenville, NC 27858-8998 | 2014-11-24 |
| 1841608973 | Karen Clark | Pharmacist | 3919 N Maple St Lowr Level, Spokane, WA 99205-1349 | 2014-08-01 |
| 1710272315 | Karen Lea Clark | Pharmacist | 3000 E Highland Dr, Suite A, Jonesboro, AR 72401-6382 | 2011-06-13 |
| 1780824029 | Karen Chavis Clark | Pharmacist | 2295 Nc Highway 24 27 E, Biscoe, NC 27209 | 2009-02-26 |
| 1942462163 | Karen Clark | Registered Nurse | 130 Seekonk St, Norfolk, MA 02056-1169 | 2008-06-29 |
| 1811020134 | Karen D. Clark | Speech-Language Pathologist | 18424 N 51st Ave, Glendale, AZ 85308-1443 | 2007-03-14 |
| 1023057924 | Karen Noelle Clark | Psychologist | 16250 Northland Drive,ste 245, Southfield, MI 48075 | 2006-06-06 |
| 1174593727 | Karen A Clark | Internal Medicine | 5050 Sw Lee Blvd Ste 2, Lawton, OK 73505 | 2006-01-25 |
| 1851383962 | Karen Cox Clark | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2005-08-16 |
| Street Address |
5TH AVENUE AND ROOSEVELT ROAD MAIL ROUTE 111D3 |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336191261 | Anthony M Spillie | Social Worker | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-05-17 |
| 1740785807 | Hetalkumar Patel | Pharmacist | 5th Avenue and Roosevelt Road, Bldg 37 Nw, Hines, IL 60141 | 2018-03-29 |
| 1750460267 | Evon Kopitas | Physician Assistant | 5th Avenue and Roosevelt Road, Attn: Eye Clinic A116l, Hines, IL 60141 | 2006-11-03 |
| 1497839955 | Nimisha Ravindra Collins | Psychiatry & Neurology | 5th Avenue and Roosevelt Road, Bldg 228, Hines, IL 60141 | 2006-10-24 |
| 1386734820 | Robert George Verde | Dentist | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-10-13 |
| 1235223488 | Mary Beth Harrison | Specialist/Technologist | 5th Avenue and Roosevelt Road, Building 113, Hines, IL 60141-5000 | 2006-10-03 |
| 1225129661 | Olivia Anne Slavish | Pharmacist | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-09-28 |
| 1447342548 | Lawrence John Cook | Dentist | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-09-28 |
| 1720186406 | Lisa Ann Wells | Recreation Therapist | 5th Avenue and Roosevelt Road, Recreation Therapy 11k, Hines, IL 60141 | 2006-09-20 |
| 1003914169 | Bryan G Gee | Internal Medicine | 5th Avenue and Roosevelt Road, Hines, IL 60141-5000 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740362219 | Heather Ann Brosmore | Nurse Practitioner | 5th Ave & Roosevelt Routing #111g, Hines Va Hospital, Hines, IL 60141 | 2006-10-20 |
| 1497858559 | Nancy M. Fink | Nurse Practitioner | Fifth Ave & Roosevelt Road, Hines, IL 60141 | 2006-09-06 |
| 1023070521 | Jeanette Marie Radzak | Nurse Practitioner | 5th Ave and Roosevelt Road, Hines, IL 60141 | 2006-04-03 |
| 1164666103 | Karen Marie Berhinig | Nurse Practitioner | 5000 S 5th Ave, Building 228, Room B1001, Hines, IL 60141-3030 | 2009-04-21 |
| 1477708451 | Prathibha Thachet | Nurse Practitioner | 5000 S 5th Ave, Hines, IL 60141-3030 | 2008-11-18 |
| 1629128343 | Angela C Ross | Nurse Practitioner | 5000 S 5th Ave, Hines, IL 60141-3030 | 2007-01-12 |
| 1225062029 | Nanghee Kim | Nurse Practitioner | 5th Ave and Roosevelt, Hines, IL 60141-5000 | 2006-07-10 |
| 1174567028 | Maureen Mary Komperda | Nurse Practitioner | 5th Ave and Roosevelt Road, Building 200 - 3rd Floor, Hines, IL 60141 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
| 1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
| 1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
| 1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
| 1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
| 1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
| 1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
| 1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
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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.