Individual
NINA M. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, LOYOLA UNIVERSITY HEALTH SYSTEM FAHEY CENTER RM 112, MAYWOOD, IL 60153-3328
(708) 216-3232
(708) 216-8198
Mailing address
2160 S 1ST AVE, LOYOLA UNIVERSITY HEALTH SYSTEM FAHEY CENTER RM 112, MAYWOOD, IL 60153-3328
(708) 216-3232
(708) 216-8198
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036108439
IL
Other
Enumeration date
08/17/2006
Last updated
05/16/2022
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