Individual provider · Type 1 NPI

Clarke Halliburton

Registered Nurse · Chicago, IL

NPI number 1043133630 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

255 W 55th Ave
Merrillville, IN 46410-2079

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041554322 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1043133630

Clarke Halliburton's National Provider Identifier is 1043133630, issued on Aug 1, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 1, 2026.