Clark, Nina M.

Clark, Nina M. is an individual health care provider with primary practice located at 2160 S 1St Ave Loyola University Health System Fahey Center Rm 112, Maywood IL 60153-3328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Clark, Nina M. can be contacted via phone (708) 216-3232.

Contact Information

Primary practice address
2160 S 1St Ave Loyola University Health System Fahey Center Rm 112 Maywood IL 60153-3328
Phone: (708) 216-3232
Fax: (708) 216-8198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036108439 Illinois

Profile Details

NPI number 1891809067
LBN Legal business name Clark, Nina M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated May 16th, 2022 - about 2 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.

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