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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036108439 | IL | Allopathic & Osteopathic Physicians |
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 |
Street Address |
2160 S 1ST AVE LOYOLA UNIVERSITY HEALTH SYSTEM FAHEY CENTER RM 112 |
City | MAYWOOD |
State | IL |
Zip Code | 60153-3328 |
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 |
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 Code | 207RI0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Infectious Disease |
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. |
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 |
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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.