CAROL CLARK (NPI# 1790192144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790192144 |
| Entity Type | Individual |
| Full Name | CAROL CLARK |
| Practice Address |
10 N Roselle Rd Roselle IL 60172-1592 |
| Mailing Address |
221 N Franzen St Bensenville IL 60106-1855 |
| Practice Telephone | 6305299189 |
| Mailing Telephone | 6306241228 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227.001854 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336520295 | Carol H Clark | Psychologist | 210 Lowry St, Kerrville, TX 78028-5274 | 2015-06-16 |
| 1669656450 | Carol T Clark | Case Management | 300 East Walnut, Suite 200, Pasadena, CA 91101 | 2007-12-28 |
| 1477606044 | Carol L Clark | Counselor | 11651 W Biscayne Canal Rd, Miami, FL 33161-6132 | 2007-01-18 |
| 1053343681 | Carol Shelby Clark | Occupational Therapist | 1647 Mallory Ln, Suite 103, Brentwood, TN 37027-2909 | 2006-07-06 |
| 1649734310 | Carol Riley Clark | Pharmacist | 621 Commerce St, Earle, AR 72331-1616 | 2019-01-28 |
| 1265938302 | Carol Clark | Counselor | 2311 E 98th St, Chicago, IL 60617-4842 | 2018-04-05 |
| 1215441936 | Carol Clark | Case Manager/Care Coordinator | 1095 Sugarview Dr, Sheridan, WY 82801-5386 | 2017-11-17 |
| 1255783940 | Carol Clark | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2016-07-06 |
| 1235503004 | Carol Jones Clark | Speech-Language Pathologist | 550 Roselawn Ave E, Maplewood, MN 55117-2120 | 2015-11-17 |
| 1528484466 | Carol Clark | Social Worker | 1701 White St, Mccomb, MS 39648-2711 | 2014-03-17 |
| Street Address |
10 N ROSELLE RD |
| City | ROSELLE |
| State | IL |
| Zip Code | 60172-1592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821165135 | David William O'brian | Podiatrist | 10 N Roselle Rd, Suite 300, Roselle, IL 60172-1592 | 2006-11-29 |
| 1497155014 | Aimee O'claire O'claire | Massage Therapist | 10 N Roselle Rd, Roselle, IL 60172-1592 | 2014-09-02 |
| 1528257441 | Podiatry & Sports Center, Ltd. | Podiatrist | 10 N Roselle Rd, Suite 300, Roselle, IL 60172-1592 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292084 | Marsico Enterprises, LLC | In Home Supportive Care | 400 W. Lake Street, Suite 112c, Roselle, IL 60172 | 2020-10-12 |
| 1013483247 | Max Care Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 701 E Irving Park Rd Ste 201, Roselle, IL 60172 | 2018-10-15 |
| 1386137305 | Performance Physical Therapy LLC | Physical Therapist | 400 Lake St Ste 320b, Roselle, IL 60172 | 2018-06-13 |
| 1154780740 | Midwest Speech Therapy | Occupational Therapist | 975 E Nerge Road, Suite W20, Roselle, IL 60172 | 2016-02-11 |
| 1750790408 | Finite Dental LLC | Clinic/Center | 1530 W Lake St, Roselle, IL 60172 | 2014-08-07 |
| 1912292780 | Chris Ciaschini | Contractor | 401 S. Gary Ave, Suite 1, Roselle, IL 60172 | 2011-06-09 |
| 1306141916 | Access Elevator, Inc. | Contractor | 42 Congress Circle W, Roselle, IL 60172 | 2011-01-13 |
| 1568794113 | Jake Buranicz | Physical Medicine & Rehabilitation | 395 Rodenburg Rd., Home Health - Travel, Roselle, IL 60172 | 2010-02-08 |
| 1952565541 | Reema C Patel | Physical Therapist | 1540 W Lake St, Premier Physical Therapy, Roselle, IL 60172 | 2008-07-14 |
| 1669642294 | Max Care Home Health Services Inc. | Home Health | 701 East Irvin Park Road, Suite 106, Rosele, IL 60172 | 2008-03-11 |
| Find all providers in zip 60172 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073865366 | Patricia Ann Harris | Massage Therapist | 523 Hory St, Roselle, NJ 07203-2364 | 2012-10-10 |
| 1447788625 | Nicole Tellez | Massage Therapist | 490 Lake St, Roselle, IL 60172-3583 | 2017-05-31 |
| 1497155014 | Aimee O'claire O'claire | Massage Therapist | 10 N Roselle Rd, Roselle, IL 60172-1592 | 2014-09-02 |
| 1376747089 | Ann Weiss | Massage Therapist | 384 E Irving Park Rd, Roselle, IL 60172-2007 | 2007-06-14 |
| 1306879465 | Alexei L Belfer | Massage Therapist | 221 Chestnut St, Suite 101, Roselle, NJ 07203-1297 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.