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Contact Information

CHERI A CLARKE
6507 CHARLESTON ST
OAK FOREST, IL60452-2626
 Phone: 708-699-4771
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
 

Recreational Therapist Assistant

226000000X
Indicates primary specialty

NPI Profile & details for CHERI A CLARKE · (Female)

NPI # 1730754383
Status Active
Credentials
Entity Individual
Enumeration date 05/25/2021
Last updated 05/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 057004503
  • IL License # 57004503
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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