Kathryn Clark

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.017045 Issued in IL

Practice address

14315 108TH Ave Ste 230
Orland Park, IL 60467-5701

Phone

(708) 675-2100

NPI assigned

May 15, 2023

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

State licenses

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1972294627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14315 108TH AVE STE 230",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675701",
            "telephone_number": "708-675-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 108TH AVE STE 230",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675701",
            "telephone_number": "708-675-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.017045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Cismoski
• April Cisneros, RBT
• City Medical Equipment & Supplies Inc
• Clarion Conscience LLC
• Holly A Clark, N.P.
• Lynette Clausen, L.C.P.C.
• Bernardina S Clavel-Ramos, MSN, FNP-BC
• Donald E Cleland Jr., DDS
• Dominique Clemons, LCPC
• Clinical Associates in Counseling, LLC

• Speech-Language Pathologist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.