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Julisa Clark

NPI 1215762661 · on the registry since 2024

Practice

Address
2048 Broadway St
Blue Island, IL 60406
Phone
(773) 615-5493
Organisation at this address
Malinda Mommy'S Helper Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois