Individual
OLIVIA NORTILLO CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, MSW
Contact information
Practice address
1445 CANTERBURY LN APT A208, MUNDELEIN, IL 60060-4457
(847) 212-7622
Mailing address
1445 CANTERBURY LN APT A208, MUNDELEIN, IL 60060-4457
(847) 212-7622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
150.114299
IL
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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