Provider Demographics
NPI:1083491526
Name:LARKIN, CLARA MARION (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CLARA
Middle Name:MARION
Last Name:LARKIN
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:CLARA
Other - Middle Name:MARION
Other - Last Name:PARKER-LARKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-BC
Mailing Address - Street 1:2751 TARPON CT
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-1425
Mailing Address - Country:US
Mailing Address - Phone:773-850-5641
Mailing Address - Fax:
Practice Address - Street 1:1645 COTTAGE GROVE AVE
Practice Address - Street 2:
Practice Address - City:FORD HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-3818
Practice Address - Country:US
Practice Address - Phone:708-753-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.027623363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily