NINA M. CLARK


Address: 2160 S 1st Ave, Loyola University Health System Fahey Center Rm 112, Maywood, IL 60153-3328
Phone: 7082163232

NINA M. CLARK (NPI# 1891809067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891809067
Entity Type Individual
Full Name NINA M. CLARK
Practice Address 2160 S 1st Ave
Loyola University Health System Fahey Center Rm 112
Maywood
IL 60153-3328
Practice Telephone 7082163232
Practice Fax Number 7082168198
Mailing Telephone 7082163232
Mailing Fax Number 7082168198
Enumeration Date 2006-08-17
Last Update Date 2013-04-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
036108439 IL Allopathic & Osteopathic Physicians

Other Providers NINA CLARK

NPI Name Taxonomy Address Enumeration
1508494337 Nina Karni Clark Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-03-28
1740741206 Nina Michelle Clark Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St, Seattle, WA 98195-0001 2019-03-27
1134683709 Nina Clark Registered Nurse 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 2019-01-28
1821506619 Nina Clark Developmental Therapist 550 N Reo St, Tampa, FL 33609-1061 2018-01-16

Office Location

Street Address 2160 S 1ST AVE
LOYOLA UNIVERSITY HEALTH SYSTEM FAHEY CENTER RM 112
City MAYWOOD
State IL
Zip Code 60153-3328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174525489 Michael Jm Raffin Audiologist 2160 S 1st Ave, Maywood, IL 60153-3328 2005-06-01
1366049900 Kenneth Bernard Jordan Psychiatry & Neurology 2160 S 1st Ave, Maywood, IL 60153-3328 2020-10-06
1124634712 Abhilasha Nitin Borkar Pathology 2160 S 1st Ave, Maywood, IL 60153 2020-09-18
1306450325 Linda Ippolito Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-09-08
1194339135 Meghan Henry Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-09-08
1194339911 Victoria Leah Drozd Student in an Organized Health Care Education/Training Program 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-31
1396357588 Madison Schaefer Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-19
1134731375 Otanthia S Williams-brady Nurse Practitioner 2160 S 1st Ave, Maywood, IL 60153-3328 2020-08-19
1205454287 Janet Nickels Audiologist 2160 S 1st Ave, Maywood, IL 60153-3328 2020-07-07
1417574054 Kathryn Clemans Nurse Anesthetist, Certified Registered 2160 S 1st Ave, Maywood, IL 60153-3328 2020-06-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053933077 Judie Noemie Hoilat Internal Medicine 2160 S 1st Avenue, Maywood, IL 60153 2020-05-13
1457972457 Yuchen Zheng Student in an Organized Health Care Education/Training Program Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 2020-04-30
1437779519 Amna Amad Siddiqui Student in an Organized Health Care Education/Training Program 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 2020-04-20
1982232211 Brian Kurtz Student in an Organized Health Care Education/Training Program 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 2020-03-31
1902434947 Saadiya Jabbar Psychiatry & Neurology Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 2020-03-27
1558919472 Linda Sue Moton Technician 10 South 15 Apt. 1, Maywood, IL 60153 2019-09-04
1760047518 Braden Robert Dasovic Student in an Organized Health Care Education/Training Program 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 2019-05-07
1134680713 Madeline Shaoyun Tiee Orthopaedic Surgery Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 2019-03-27
1538629746 Michael Murphy Orthopaedic Surgery 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 2019-03-22
1053871681 Michael V Padua Psychiatry & Neurology 2160 S 1st Ave Bldg, Maywood, IL 60153 2019-03-20
Find all providers in zip 60153

Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053773044 Seshank Arimilli Internal Medicine 2160 S 1st Ave Bldg 1027609, Maywood, IL 60153-3328 2016-03-28
1891971305 Lopa Maharaja Internal Medicine 255 W Spring Valley Ave Ste 100, Maywood, NJ 07607-1444 2008-01-15
1700409125 Mohamed Yussif Internal Medicine 2160 S 1st Ave, Maywood, IL 60153-3328 2020-05-20
1659894889 Manubolu Devanand Internal Medicine 2160 S 1st Ave, Maywood, IL 60153-3328 2017-07-19
1083918486 Fritzie Saavedra Albarillo Internal Medicine 2160 S 1st Ave, Maywood, IL 60153 2010-12-29
1144476961 Infectious Diseases Associates of Northern New Jersey LLC Internal Medicine 255 W Spring Valley Ave Ste 100, Maywood, NJ 07607-1444 2008-08-12
1255502506 Anilrudh Venugopal Internal Medicine 2160 S 1st Ave, Fahey Bldg, Room 115, Maywood, IL 60153-3328 2008-03-14
1164606158 Han Ngoc Nguyen Internal Medicine 255 W. Spring Valley Ave, Suite 100, Maywood, NJ 07601-1323 2007-12-26
1912064536 Andrew M Bonwit Internal Medicine 2160 S 1st Ave, (maguire Center, Rm. 3307), Maywood, IL 60153-3328 2007-01-02
1306867247 Ravi Venkata Durvasula Internal Medicine 2160 S 1st Ave, Maywood, IL 60153-3328 2006-07-23
Find all providers in MAYWOOD

Competitor

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City MAYWOOD
Zip Code 60153

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Dataset Information

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.

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