Individual
SHONDA T CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-3844
Mailing address
1600 COIT RD STE 104, PLANO, TX 75075-6171
(972) 566-5411
(972) 519-8337
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1018533
TX
363L00000X
Nurse Practitioner
Primary
209011572
IL
Other
Enumeration date
06/15/2015
Last updated
09/24/2021
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