Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMETRA DIANE CLARK, FNP-BC
Active Sole ProprietorFamily Nurse Practitioner · CHICAGO, IL
Registration Details
- NPI Number
- 1316687650
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2022 (4.0752131333574 yrs)
- Last Updated
- Apr 1, 2022
- Licenses
-
041436444 (IL)9562544 (FL)209024791 (IL)209024791 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1401 E 55TH ST APT 905NCHICAGO, IL, 606155468Browse IL providers · Browse ZIP 60615
- Phone
- 7087593112
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Nephrology Nurse
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| ANNE E TURNER | ANP-C | 1487658084 |
| YANA DYMARSKIY | APRN, FNP | 1154322097 |
| MARY L TORNABENE | APN | 1730180621 |
| SARAH LAU | APN | 1548254378 |
| CYNTHIA D DAVIS | FNP | 1902897028 |
| VALERIE URYGA | NP | 1154309151 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.