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

Holly A Clark, NP

Individual provider Nurse Practitioner · NPI 1205823093

Holly A Clark, NP is a Nurse Practitioner in Orland Park, Illinois. Qualified in 1997, 29 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
29
Licensed in
IL
In the registry since
2005
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

15300 W Ave Ste 224
Orland Park, IL 60462-4509
Phone: (708) 923-8260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 277-000934 (IL)

Record details

NPI number1205823093
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 5, 2005
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address15300 West Ave Ste 224, Orland Park, IL 60462-4509

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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