Active NPI
Miamar Health Clinic PLLC
- Nurse Practitioner
- Matteson, IL
National Provider Identifier
1992494066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MIAMAR HEALTH CLINIC PLLC
- Practice address
- 600 Holiday Plaza Dr Ste 501
Matteson, IL 60443-2359 - Phone
- (312) 437-1023
- NPI assigned
- May 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claressa Hawkins, NURSE PRACTITIONER
- Title
- Ceo Owner
- Phone
- (312) 437-1023
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Family Planning Facility | 261QA0005X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
600 Holiday Plaza Dr Ste 501
Matteson, IL 60443-2359
Mailing address
600 Holiday Plaza Dr Ste 501
Matteson, IL 60443-2359
Phone (312) 437-1023
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Matteson, IL
- NPI 1134766132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764115200000",
"number": "1992494066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HOLIDAY PLAZA DR STE 501",
"city": "MATTESON",
"state": "IL",
"postal_code": "604432359",
"telephone_number": "312-437-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HOLIDAY PLAZA DR STE 501",
"city": "MATTESON",
"state": "IL",
"postal_code": "604432359",
"telephone_number": "312-437-1023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMAR HEALTH CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-04",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "CLARESSA",
"authorized_official_title_or_position": "CEO OWNER",
"authorized_official_telephone_number": "312-437-1023",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "261QA0005X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Family Planning Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matteson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.