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Individual

HOLLY A CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
15300 WEST AVE STE 224, ORLAND PARK, IL 60462-4509
(708) 923-8260
Mailing address
15300 WEST AVE STE 224, ORLAND PARK, IL 60462-4509
(708) 923-7874
(708) 923-8596

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277-000934
IL

Other

Enumeration date
10/05/2005
Last updated
10/29/2025
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