CAROL CLARK
NPI 1790192144
Massage Therapist in Roselle, IL

Active since July 17, 2014
10 N ROSELLE RD, ROSELLE, IL 60172(630) 529-9189 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol Clark NPPES

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

CAROL CLARK (NPI 1790192144) is an individual massage therapist in Roselle, Illinois, licensed in Illinois (227.001854) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1790192144
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCAROL CLARK
Location Address10 N ROSELLE RDRoselle, IL 60172-1592
Mailing Address221 N Franzen StBensenville, IL 60106-1855 · (630) 624-1228
Sole ProprietorYes
Enumeration DateJuly 17, 2014
NPI 1790192144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in IL · 227.001854
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
10 N ROSELLE RD, Roselle, IL 60172

Other Providers at the Same Location NPPES 2

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

Massage Therapist
10 N ROSELLE RD
ROSELLE, IL 60172
Podiatrist (Foot & Ankle Surgery)
10 N ROSELLE RD, SUITE 300
ROSELLE, IL 60172

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 Carol Clark's NPI number?

The NPI number for Carol Clark is 1790192144. It was assigned to this individual provider in the NPPES registry on July 17, 2014.

Where is Carol Clark located?

Carol Clark practices at 10 N Roselle Rd, Roselle, IL 60172. The listed phone number is (630) 529-9189.

What is Carol Clark's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Carol Clark was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.