Individual provider · Type 1 NPI
Dana Clayter
Family Nurse Practitioner · Willowbrook, IL
NPI number
1053117622
Active
Practice location
40 75th St
Willowbrook, IL 60527-2325
Mailing address
4801 Sauk Trl Unit B
Richton Park, IL 60471-1017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209.031626 (IL) |
| Primary Care Nurse Practitioner | 363LP2300X | 209.031626 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209.031626 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053117622
Dana Clayter's National Provider Identifier is 1053117622, issued on Feb 24, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Willowbrook, IL. The record was last updated on Jun 3, 2025.