Search › Illinois › 374J00000X
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