MS. ZENOBIA CLARK (NPI# 1255719399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255719399 |
| Entity Type | Individual |
| Full Name | MS. ZENOBIA CLARK |
| Credential | FNP-C |
| Practice Address |
17850 Kedzie Ave Ste 2200 Hazel Crest IL 60429-2056 |
| Mailing Address |
3442 218th Pl Matteson IL 60443-2770 |
| Practice Telephone | 7087999500 |
| Practice Fax Number | 7087999555 |
| Mailing Telephone | 7087248498 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.012335 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17850 KEDZIE AVE STE 2200 |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982163085 | Bashiru Oladele Babawale | Nurse Practitioner | 3710 Village Dr, Hazel Crest, IL 60429-2441 | 2019-03-18 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1215567599 | Rasaq Durojaiye | Nurse Practitioner | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-01-25 |
| 1639633365 | Stacy Lynn Prskalo | Nurse Practitioner | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2019-01-28 |
| 1780190280 | Kimberly Hough | Nurse Practitioner | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2017-12-19 |
| 1235673641 | Joyce E Fitzpatrick | Nurse Practitioner | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2016-12-05 |
| 1396113486 | Samantha Hyche | Nurse Practitioner | 3330 W 177th St, Ste 3g, Hazel Crest, IL 60429-2199 | 2015-09-08 |
| 1356744452 | Kristi Hughes | Nurse Practitioner | 17850 Kedzie Ave, Hazel Crest, IL 60429-2058 | 2014-10-02 |
| 1528216082 | Sandra Lynn Mikulich | Nurse Practitioner | 17800 South Kedzie Avenue, Hazel Crest, IL 60429 | 2008-09-08 |
| 1518123579 | Ruth L. West | Nurse Practitioner | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2008-07-30 |
| Find all providers in HAZEL CREST | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
Please comment or provide details below to improve the information on MS. ZENOBIA CLARK.
| 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.