Individual provider · Type 1 NPI

Shammona Clark, FNP-C

Family Nurse Practitioner · Chicago, IL

NPI number 1235785809 Active

Practice location

2600 S Michigan Ave, Ste Lld
Chicago, IL 60617-3512

Call (312) 866-4642 Map

Mailing address

2600 S Michigan Ave, Ste Lld
Chicago, IL 60616

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209020109 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1235785809

Shammona Clark, FNP-C's National Provider Identifier is 1235785809, issued on Aug 9, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Mar 31, 2025.