Individual provider · Type 1 NPI

Kasandria Clark, MD

Pediatrics Physician · Chicago, IL

NPI number 1801538251 Active

Practice location

1555 W Howard St
Chicago, IL 60626-1707

Mailing address

4104 N Western Ave Apt 3N
Chicago, IL 60618-2848

Other practice locations

  • 1675 Dempster St, Park Ridge, IL 60068-1110 · (847) 318-9300

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatrics Physician Primary 208000000X036172412 (IL)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1801538251

Kasandria Clark, MD's National Provider Identifier is 1801538251, issued on Apr 7, 2022. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Chicago, IL. The record was last updated on Jun 9, 2025.