Holly A Clark

N.P. | Nurse Practitioner | 27+ years Exp

14315 108th Ave, Orland Park
  Illinois, 60467-5700
815-300-7764
Accepts Medicare Nurse Anesthetist in Orland Park, Illinois.
Holly A Clark is a Orland Park, Illinois based nurse practitioner with 27 years of experience in . She completed her graduation in 1997. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Holly A Clark is 309-001914 in Illinois. Her current practice location is 14315 108th Ave, Orland Park. Patients can reach her at 815-300-7764 or can fax her at 708-385-8780. Holly A Clark is N.P. and her NPI number (Unique professional ID assigned by NPPES) is 1205823093.
Holly A Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Holly A Clark speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Holly A Clark
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: N.P.
Experience: 27+ years
Medical School Attended:Other
Graduation Year:1997
Accepts Medicare Assignment:Yes
Practice Address:14315 108th Ave, Orland Park,
Illinois, 60467-5700
Phone:815-300-7764
Fax:708-385-8780
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 0446259170
Enrollment ID: I20061207000088
NPI Number: 1205823093
NPI Enumeration Date: 05 Oct, 2005
NPI Last Update On: 23 Feb, 2021

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Holly A Clark are as mentioned below.
License NumberSpecializationStateStatus
309-001914 IllinoisPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(140213)New lenox, ILAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Holly A Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Premier Suburban Medical Group, Pllc (5294155818)37
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Holly A Clark
9024 Kinsale Dr,
Tinley Park, Illinois
Zip: 60487-3899
Phone Number: 708-308-6993
Patients can reach Holly A Clark at 14315 108th Ave, Orland Park, Illinois or can call to book an appointment on 815-300-7764.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.