Richard Clark (NPI# 1659355121, PAC ID# 1759363195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1659355121 |
PAC ID by PECOS | 1759363195 |
Professional Enrollment ID | I20070522000573 |
Full Name | Richard Clark |
Organization Legal Name | AMSURG OAK LAWN IL ANESTHESIA LLC |
Address |
9921 Southwest Hwy Oak Lawn IL 60453-3754 |
Phone Number | 7084252552 |
Gender | M |
Credential | CNA |
Graduation Year | 1992 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 1557587029 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
10400 Southwest Hwy, Chicago Ridge, IL 60415-1367 | 7085817608 | SENTINEL ANESTHESIA OF ILLINOIS PC |
1105 W Park Ave, Suite 1, Libertyville, IL 60048-2567 | 8476805880 | SENTINEL ANESTHESIA OF ILLINOIS PC |
3725 W Touhy Ave, Lincolnwood, IL 60712-2603 | 8002086014 | CHIL ANESTHESIA LLC |
9921 Southwest Hwy, Oak Lawn, IL 60453-3754 | 7084252552 | AMSURG OAK LAWN IL ANESTHESIA LLC |
16001 108th Ave, Orland Park, IL 60467-8788 | 7084600007 | SENTINEL ANESTHESIA OF ILLINOIS PC |
7340 W College Dr, Fl 1, Palos Heights, IL 60463-1186 | 7083613233 | SENTINEL ANESTHESIA OF ILLINOIS PC |
Organization Legal Name | AMSURG OAK LAWN IL ANESTHESIA LLC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathleen L Olsen | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Barbara A Doherty | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Julie Ann Flynn | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Jeffrey J Ryan | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Patrice Johnson | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Street Address |
9921 SOUTHWEST HWY |
City | OAK LAWN |
State | IL |
Zip | 60453-3754 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathleen L Olsen | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Barbara A Doherty | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Julie Ann Flynn | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Jeffrey J Ryan | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Lauren M Smith | Nurse Practitioner | Illinois Gastroenterology Group LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3767 |
Patrice Johnson | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Maria Mcintire | Pathology | Gi Partners of Illinois LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Ven A Aduana | Pathology | Gi Partners of Illinois LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Sandra L Bernklau | Nurse Practitioner | Gi Partners of Illinois LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathleen C Hertz | Physical Therapy | Athletico Ltd | 8729 Ridgeland Ave, Oak Lawn, IL 60453-1001 |
Grant S Arthur | Physical Therapy | Athletico Ltd | 8729 Ridgeland Ave, Oak Lawn, IL 60453-1001 |
Erika L Kruchten | Physical Therapy | Athletico Ltd | 8729 Ridgeland Ave, Oak Lawn, IL 60453-1001 |
Caroline J Mulhall | Chiropractic | 9025 Nashville Ave, Oak Lawn, IL 60453-1458 | |
Darshan Nagesh | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
John F Grady | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
Yelena Boumendjel | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
Patrick John Sanchez | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
Emil Zager | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
Paul T Martin Jr. | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
Find all physicians in zip 60453 |
City | OAK LAWN |
Zip Code | 60453 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | OAK LAWN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Richard Clark.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.