Clark, Holly A
Clark, Holly A is an individual health care provider with primary practice located at 14315 108Th Ave , Orland Park IL 60467-5700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Clark, Holly A can be contacted via phone (815) 300-7764.Contact Information
Primary practice address
14315 108Th Ave
Orland Park IL 60467-5700
Phone: (815) 300-7764
Fax: (708) 385-8780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 309-001914 | Illinois |
Profile Details
| NPI number | 1205823093 |
|---|---|
| LBN Legal business name | Clark, Holly A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Feb 23rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Burda, Janet E
15300 West Ave Ste 223 , Orland Park IL 60462-4509 -
Durham, Trisha
7830 W 151St St , Orland Park IL 60462-2932 -
Chorley, Regina A
15300 West Ave Ste 108 , Orland Park IL 60462-4685 -
Blachowicz, Ewa
16632 S 107Th Ct , Orland Park IL 60467 -
Karam, Maya
15300 West Avenue Suite 20 South, Orland Park IL 60462 -
Hulford, Debra Jean
16450 104Th Ave Suite #101, Orland Park IL 60467-5441 -
Pociask, Laura
14680 S La Grange Rd , Orland Park IL 60462-2510 -
Wilson, Caroline Kreisl
16450 S 97Th Ave , Orland Park IL 60467-5587