Clark, Zenobia

Clark, Zenobia is an sole proprietor health care provider with primary practice located at 3442 218Th Pl , Matteson IL 60443-2770. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Zenobia can be contacted via phone (708) 724-8498.

Contact Information

Primary practice address
3442 218Th Pl Matteson IL 60443-2770
Phone: (708) 724-8498
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.012335 Illinois

Profile Details

NPI number 1255719399
LBN Legal business name Clark, Zenobia
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2015
Last updated Jun 24th, 2024 - about 5 months 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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