Individual
ERIN LARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 W IRVING PARK RD, SUITE 301, CHICAGO, IL 60613-3011
(872) 206-2813
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704347823
MI
363LF0000X
Family Nurse Practitioner
Primary
209-012493
IL
363LF0000X
Family Nurse Practitioner
4704347823
MI
Other
Enumeration date
01/23/2015
Last updated
01/02/2026
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