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Individual

MRS. KAREN F. CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5TH AVENUE AND ROOSEVELT ROAD, MAIL ROUTE 111D3, HINES, IL 60141
(708) 202-2304
Mailing address
5TH AVENUE AND ROOSEVELT ROAD, MAIL ROUTE 111D3, HINES, IL 60141
(708) 202-2304

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
IL

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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