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

Laura Caitlin Clark

Individual provider Physician Assistant · NPI 1114631728

Laura Caitlin Clark is a Physician Assistant in Park Ridge, Illinois. Qualified in 2023, 3 years ago. Practices with Access Community Health Network, a 184-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

417 N Northwest Hwy Apt 2F
Park Ridge, IL 60068-3258
Phone: (337) 207-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1114631728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 9, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address417 N Northwest Hwy Apt 2f, Park Ridge, IL 60068-3258

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Access Community Health Network — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Park Ridge