Individual
MS. ZENOBIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3442 218TH PL, MATTESON, IL 60443-2770
(708) 724-8498
Mailing address
3442 218TH PL, MATTESON, IL 60443-2770
(708) 724-8498
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.012335
IL
363LF0000X
Family Nurse Practitioner
209.012335
IL
Other
Enumeration date
05/08/2015
Last updated
09/30/2025
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