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CHERYL CLARK RN
NPI 1558509919
Registered Nurse - Medical-Surgical in Normal, IL

Active since January 23, 2009
1604 VISA DR STE 1, NORMAL, IL 61761(309) 846-4714(309) 454-1107 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cheryl Clark Rn NPPES

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

CHERYL CLARK RN (NPI 1558509919) is an individual medical-surgical provider in Normal, Illinois, licensed in Illinois (041125182) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1558509919
Entity TypeIndividualFemale
Primary Taxonomy163WM0705X
Provider Legal NameCHERYL CLARKCredential: RN
Location Address1604 VISA DR STE 1Normal, IL 61761-2195
Mailing Address1604 Visa Dr Ste 1Normal, IL 61761-2195 · (309) 846-4714 · Fax (309) 454-1107
Phone(309) 846-4714
Fax(309) 454-1107
Sole ProprietorNo
Enumeration DateJanuary 23, 2009
✔ NPI 1558509919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in IL · 041125182
1604 VISA DR STE 1, Normal, IL 61761
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Other Providers at the Same Location NPPES 20

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

CANDI HAZELWONDER CST
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
KENT PETERSEN RN
Registered Nurse
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
MR. HESTON J ALLRED
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
YULIA GULAY
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
MS. DESIREE A PADILLA IONM TECHNOLOGIST
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
JULIE L DIETERMAN RN, CNOR, RNFA
Registered Nurse (Registered Nurse First Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
STACEY J GIESE RN
Specialist/Technologist, Other (Surgical Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
EMILY WOLF CST
Physician Assistant (Surgical)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716

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 Cheryl Clark's NPI number?

The NPI number for Cheryl Clark is 1558509919. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Cheryl Clark located?

Cheryl Clark practices at 1604 Visa Dr Ste 1, Normal, IL 61761. The listed phone number is (309) 846-4714.

What is Cheryl Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

When was this NPI record last updated?

The NPPES record for Cheryl Clark was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.