Search › Illinois › 363LF0000X
Timetra Clark, FNP-BC
NPI 1316687650 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1401 E 55th St Apt 905n
Chicago, IL 60615 - Phone
- (708) 759-3112
- Organisation at this address
- Hands On Holistic Health Pllc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 11026 Pony Gate, San Antonio, TX
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163WN0300X
163WN0300X
363L00000X - Licence states on file
- IL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-01
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