Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Latisha Clark

Individual provider Case Management Registered Nurse · NPI 1306740337

Latisha Clark is a Case Management Registered Nurse in Hines, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

5000 S 5th Ave
Hines, IL 60141-3030
Phone: (708) 264-2150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 041474298 (IL)

Record details

NPI number1306740337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 5, 2026
Last updated in NPPESOctober 5, 2026
Certification dateOctober 5, 2026

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