MRS. JOAN KAY CLARK (NPI# 1801936919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801936919 |
| Entity Type | Individual |
| Full Name | MRS. JOAN KAY CLARK |
| Practice Address |
1095 Pingree Rd Suite 119 Crystal Lake IL 60014-1725 |
| Mailing Address |
975 Sarasota Ln Crystal Lake IL 60014-8317 |
| Practice Telephone | 8474588890 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083186209 | Joan Leslie Clark | Speech-Language Pathologist | 3898 Via Poinciana Ste 17, Lake Worth, FL 33467-2951 | 2018-12-28 |
| 1174776694 | Joan Macfarlane Clark | Social Worker | 607 Oak Ridge Dr, Boerne, TX 78006-8229 | 2008-10-28 |
| 1952476038 | Joan H Clark | Registered Nurse | Pds 1725 W 17th St, Santa Ana, CA 92706 | 2006-11-22 |
| 1710969498 | Joan Marie Clark | Nurse Practitioner | 6400 Clayton Rd Ste 302, Saint Louis, MO 63117-1850 | 2005-11-17 |
| 1790786176 | Joan M Clark | Physical Therapist | 285 Jefferson Dr W, Palmyra, VA 22963-2404 | 2005-08-09 |
| 1801379532 | Joan Clark | Speech-Language Pathologist | 3427 Chapel Rd, Hamilton, OH 45013-9292 | 2018-09-10 |
| 1013221639 | Joan Carol Clark | Speech-Language Pathologist | 3207 Rosemont Dr, Chattanooga, TN 37411-4219 | 2010-08-06 |
| 1336468263 | Joan Gary Clark | Counselor | 100 Se Whitener Rd, Shelton, WA 98584-7747 | 2010-05-17 |
| 1548316748 | Joan Kutner Clark | Social Worker | 223 Maison Dr Unit 28, Suite A-1, Myrtle Beach, SC 29572-5170 | 2007-01-28 |
| 1174696082 | Joan Carmack Clark | Nurse Practitioner | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2006-11-16 |
| Street Address |
1095 PINGREE RD SUITE 119 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174503510 | Family Medicine for Mchenry County | Family Medicine | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1725 | 2006-01-20 |
| 1528610268 | Jenna Lee | Physical Therapist | 1095 Pingree Rd, Crystal Lake, IL 60014-1725 | 2019-07-12 |
| 1265951883 | Lakeview Counseling Services | Counselor | 1095 Pingree Rd, Crystal Lake, IL 60014-1725 | 2017-09-14 |
| 1962935213 | Julia Tansor | Physical Therapist | 1095 Pingree Rd, Suite 209, Crystal Lake, IL 60014-1725 | 2017-04-04 |
| 1255786950 | Margaret Yuk | Speech-Language Pathologist | 1095 Pingree Rd, Suite #209, Crystal Lake, IL 60014-1725 | 2016-05-01 |
| 1386099208 | Roseann C Iverson | Nurse Practitioner | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1725 | 2016-04-28 |
| 1053718445 | Companian Animal Specialty and Emergency Hospital | Veterinarian | 1095 Pingree Rd, Suite 120, Crystal Lake, IL 60014-1725 | 2014-12-01 |
| 1902223290 | Rachel Lynne Linden | Speech-Language Pathologist | 1095 Pingree Rd, #119, Crystal Lake, IL 60014-1725 | 2014-03-25 |
| 1063769487 | Siddhi Virendra Bavishi | Physical Therapist | 1095 Pingree Rd, Suite 119, Crystal Lake, IL 60014-1725 | 2012-08-06 |
| 1831325299 | William Peter Birong | Social Worker | 1095 Pingree Rd, Suite 204, Crystal Lake, IL 60014-1725 | 2009-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427121458 | Pediatric Place | Specialist/Technologist | 1095 Pingree Rd., Crystal Lake, IL 60014 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461163 | Jennifer Jackson | Specialist/Technologist | 149 Flagstaff Dr, Bolingbrook, IL 60440-2657 | 2020-09-10 |
| 1427666825 | Claudia Diane Sudduth | Specialist/Technologist | 2047 E 75th St Apt 2b, Chicago, IL 60649-3637 | 2020-07-21 |
| 1922620277 | Marina Leticia Washington | Specialist/Technologist | 3303 Wexford Ln, Joliet, IL 60431-0643 | 2020-05-09 |
| 1568000453 | Aleksandra G Maslowiec | Specialist/Technologist | 8904 W 140th St Apt 3g, Orland Park, IL 60462-9225 | 2019-12-11 |
| 1396381067 | Casey Malman | Specialist/Technologist | 901 W Madison St Unit 701, Chicago, IL 60607-3372 | 2019-11-18 |
| 1467001800 | Raoof Mirza Ali Baig | Specialist/Technologist | 564 Abbey Rd, Bartlett, IL 60103-1926 | 2019-09-09 |
| 1598314072 | Shawna Grace Stadtherr | Specialist/Technologist | 2925 Manchester Dr, Montgomery, IL 60538-4063 | 2019-09-08 |
| 1770139834 | Laura Joana Ayla | Specialist/Technologist | 440 N Anna Ln, Romeoville, IL 60446-5283 | 2019-08-14 |
| 1801456454 | Andy's Hub LLC | Specialist/Technologist | 922 North Blvd Apt 607, Oak Park, IL 60301-1244 | 2019-06-17 |
| 1548729148 | Jamie Sanberg | Specialist/Technologist | 314 N Warwick Ave Apt 2c, Westmont, IL 60559-1583 | 2019-03-14 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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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.