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JULISA CLARK
NPI 1215762661
Doula in Blue Island, IL

Active since September 05, 2024
2048 BROADWAY ST, BLUE ISLAND, IL 60406(773) 615-5493 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Julisa Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULISA CLARK (NPI 1215762661) is an individual doula in Blue Island, Illinois, licensed in Illinois (070524) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1215762661
Entity TypeIndividualFemale
Primary Taxonomy374J00000X
Provider Legal NameJULISA CLARK
Location Address2048 BROADWAY STBlue Island, IL 60406-3049
Mailing Address2048 Broadway StBlue Island, IL 60406-3049 · (773) 615-5493
Phone(773) 615-5493
Sole ProprietorNo
Enumeration DateSeptember 5, 2024
NPPES CertifiedSeptember 5, 2024
✔ NPI 1215762661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDoulaNursing Service Related Providers
Taxonomy Code374J00000X
License✔ Licensed in IL · 070524
Definition
Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.
2048 BROADWAY ST, Blue Island, IL 60406
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALINDA MOMMY'S HELPER LLC
Doula
2048 BROADWAY ST
BLUE ISLAND, IL 60406
Cook County (773) 615-5493

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julisa Clark's NPI number?

The NPI number for Julisa Clark is 1215762661. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Where is Julisa Clark located?

Julisa Clark practices at 2048 Broadway St, Blue Island, IL 60406. The listed phone number is (773) 615-5493.

What is Julisa Clark's specialty?

The primary specialty registered for this NPI is Doula with taxonomy code 374J00000X.

When was this NPI record last updated?

The NPPES record for Julisa Clark was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.