Individual provider · Type 1 NPI
Latisha Clark
Case Management Registered Nurse · Hines, IL
NPI number
1306740337
Active
Practice location
5000 S 5th Ave
Hines, IL 60141-3030
Mailing address
235 W Van Buren St Unit 4312
Chicago, IL 60607-3946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 041474298 (IL) |
Case Management Registered Nurse: Definition to come...
1,354 other providers at this address
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Other case management registered nurse providers in Hines
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- Renato Vigilia Natividad Jr., REGISTERED NURSECase Management Registered Nurse Hines, IL NPI 1669386512
- Mary Duhig, RNCase Management Registered Nurse Hines, IL NPI 1881599090
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About NPI 1306740337
Latisha Clark's National Provider Identifier is 1306740337, issued on Oct 5, 2026. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Hines, IL. The record was last updated on Oct 5, 2026.