Katherine H. Clark, M.S. VOC REHAB

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5TH Ave & Roosevelt Rd
Edward Hines Jr VA Hospital 116A6
Hines, IL 60141

Phone

(708) 202-7122

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710068440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N WAIOLA AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH AVE & ROOSEVELT RD",
            "address_2": "EDWARD HINES JR VA HOSPITAL 116A6",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KATHERINE",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "M.S. VOC REHAB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane R Christianson, MA
• Danny Chung
• Laura Lea Ciesla, LSW
• Mary Jane Cipriani, MD
• Karen F. Clark, NP
• Tyler Clemons, PHARMD
• Anthony David Cleveland II
• Brian Cody
• Kathleen Colangelo, PH.D.
• Susan Colangelo, N.P.

• Counselor in Hines, IL
• Providers in Hines, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.