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

Mr. Richard D Clark, RNARNPCRNA

Individual provider Registered Nurse · NPI 1659355121

Mr. Richard D Clark, RNARNPCRNA is a Registered Nurse in Lansing, Illinois. Practices as a sole proprietor. Licensed in Illinois, Kansas and Missouri.

Licensed in
IL, KS, MO
In the registry since
2005
Specialties on file
6

Practice location Address checks out

18221 Torrence Ave
Lansing, IL 60438-2870
Phone: (708) 895-9450
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 09.006191 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 1484659051 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 134677 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 54725 (KS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 54725 (KS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 134677 (MO)

Record details

NPI number1659355121
Entity typeIndividual (Type 1)
GenderMale
Credentials RNARNPCRNA
Sole proprietorYes
NPI enumeratedNovember 30, 2005
Last updated in NPPESMay 21, 2010

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