Mr. Richard D Clark is a Lansing, Illinois based nurse practitioner. Active license number of Mr. Richard D Clark is 09.006191 in Illinois. His current practice location is 18221 Torrence Ave, Lansing. Patients can reach him at 708-895-9450. Mr. Richard D Clark is RN ARNP CRNA and his NPI number (Unique professional ID assigned by NPPES) is 1659355121. Mr. Richard D 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:
Mr. Richard D Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
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.
NPI Number:
1659355121
NPI Enumeration Date:
30 Nov, 2005
NPI Last Update On:
21 May, 2010
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Richard D Clark are as mentioned below.
License Number
Specialization
State
Status
09.006191
Illinois
Primary
1484659051
Registered Nurse
Kansas
Secondary
134677
Registered Nurse
Missouri
Secondary
54725
Nurse Practitioner
Kansas
Secondary
54725
Nurse Anesthetist, Certified Registered
Kansas
Secondary
134677
Nurse Anesthetist, Certified Registered
Missouri
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Richard D Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
161280
Other
BCBS OF KANSAS
481192875
Other
HUMANA
P00155221
Other
RR MEDICARE
P13178
Other
PREMIER HEALTH PLANS
27862039
Other
BCBS OF KANSAS CITY
27862039
Other
PREFERRED HEALTH PROFESSI
27862039
Other
PREFERRED CARE BLUE
481192875
Other
UNITED HEALTH CARE
481192875
Other
COVENTRY
915697213
Medicaid
Missouri
481192875
Other
CIGNA
481192875
Other
AETNA
100385650C
Other
KANSAS MEDICAL ASSISTISTA
10001771600
Other
COMMUNITY HEALTH PLAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Richard D Clark 18221 Torrence Ave, Lansing, Illinois
Zip:
60438-2870
Phone Number:
708-895-9408
Patients can reach Mr. Richard D Clark at 18221 Torrence Ave, Lansing, Illinois or can call to book an appointment on 708-895-9450.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.