Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Haley R Clark

Individual provider Physician Assistant · NPI 1861024416

Haley R Clark is a Physician Assistant in Park Ridge, Illinois. Qualified in 2021, 5 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2020
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Practice location Address checks out

1700 Luther Ln Ste 1170
Park Ridge, IL 60068-1270
Phone: (844) 376-3876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-008425 (IL)

Record details

NPI number1861024416
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022
Mailing address1700 Luther Ln Ste 1170, Park Ridge, IL 60068-1270

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Park Ridge