JENNIFER CLARK (NPI# 1114479052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114479052 |
| Entity Type | Individual |
| Full Name | JENNIFER CLARK |
| Credential | P. A. |
| Practice Address |
550 W Ogden Ave Hinsdale IL 60521-3186 |
| Mailing Address |
2138 Prentiss Dr Downers Grove IL 60516-5314 |
| Practice Telephone | 6303236116 |
| Practice Fax Number | 6307948620 |
| Mailing Telephone | 6303236116 |
| Mailing Fax Number | 6307948620 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
| 1982249926 | Jennifer Rae Clark | Nurse Practitioner | 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 | 2019-11-13 |
| 1528546827 | Jennifer Clark | Technician | 59 Forrester St Sw Apt B, Washington, DC 20032-2120 | 2018-07-30 |
| 1265940340 | Jennifer Anne Clark | Counselor | 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 | 2018-01-11 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1295124899 | Jennifer Clark | Behavioral Analyst | 662 Lake George Dr, Melbourne, FL 32940-2221 | 2015-01-20 |
| 1851707194 | Jennifer Sara Clark | Physical Therapist | 797 Evergreen Dr, West Hempstead, NY 11552-3406 | 2014-07-08 |
| 1083988794 | Jennifer Makiki Clark | Health Educator | 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 | 2012-02-27 |
| 1639484520 | Jennifer Ann Clark | Speech-Language Pathologist | 5903 Neptune Dr, Fort Collins, CO 80525-3905 | 2010-08-16 |
| 1245567247 | Jennifer Selleck Clark | Nurse Practitioner | 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 | 2009-11-11 |
| Street Address |
550 W OGDEN AVE |
| City | HINSDALE |
| State | IL |
| Zip Code | 60521-3186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373041 | Katelyn May O'connell | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2005-08-15 |
| 1689288128 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2020-09-02 |
| 1477162089 | Lauren Elizabeth Reineke | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2020-07-29 |
| 1003452160 | Joseph P Mcdaniel | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2019-11-25 |
| 1831735299 | Huyen Rago | Nurse Practitioner | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2019-11-20 |
| 1750939674 | James Schneider | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2019-09-04 |
| 1952868085 | Angela Marie Prusa | Specialist/Technologist | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2019-02-25 |
| 1366928368 | Jason Shrouder-henry | Orthopaedic Surgery | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2018-07-13 |
| 1366932469 | Emily Ann Giese | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521 | 2018-05-14 |
| 1730684150 | Rebecca Comas | Nurse Practitioner | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2018-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
| 1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
| 1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
| 1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
| 1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1992187074 | Matthew Destefani | Emergency Medicine | 109 Symonds Dr # 578, Hinsdale, IL 60521 | 2015-06-24 |
| Find all providers in zip 60521 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598105827 | Jennifer S Lim | Physician Assistant | 40 S Clay St # Ll30, Hinsdale, IL 60521-3257 | 2013-07-01 |
| 1487892089 | Babu Rao Surapaneni | Physician Assistant | 140 N. County Ln, Apt 123, Hinsdale, IL 60521 | 2009-02-04 |
| 1023256732 | Faustino Fernandez | Physician Assistant | 140 N County Line Rd, Apt 123, Hinsdale, IL 60521-3861 | 2009-02-03 |
| 1659373041 | Katelyn May O'connell | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2005-08-15 |
| 1134678683 | Laura Earnest | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2016-09-26 |
| 1902212921 | Alicia Plancich | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2014-07-10 |
| 1700225992 | Sarah A Savage | Physician Assistant | 908 N Elm St, 310, Hinsdale, IL 60521-3635 | 2013-06-20 |
| 1932324613 | Thomas J Kraus | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2007-04-16 |
| 1275574469 | Brian D Amundson | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.