Search › Illinois › 101YP2500X
Lasheena Clark
NPI 1093941957 · on the registry since 2009
Practice
- Address
- 1448 N Milwaukee Ave Ste 201
Chicago, IL 60622 - Phone
- (312) 476-9064
- Organisation at this address
- Willis Healthcare Inc
Willis Health Agency Inc.
Health Source Of Wicker Park Pc
Willis Counseling And ConsultingInferred from a shared address, not stated in the registry. - Clinicians at this address
- 51
Additional practice sites
- 5341 W Cermak Rd, Cicero, IL
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois