MACIE M CLARK LPN
NPI 1497238612
Licensed Practical Nurse in Du Quoin, IL

NPI Status: Active since September 13, 2018

Contact Information

1564 S WASHINGTON ST
DU QUOIN, IL
ZIP 62832
Phone: (618) 542-8702

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  • Individual
  • Female
  • Licensed Practical Nurse

About MACIE CLARK

This page provides the complete NPI Profile along with additional information for Macie Clark, a provider established in Du Quoin, Illinois with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1497238612 assigned on September 2018. The practitioner's primary taxonomy code is 164W00000X with license number 043125988 (IL). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1497238612
Provider Name
MACIE M CLARK LPN
Gender
Female
Entity Type
Individual
Location Address
1564 S WASHINGTON ST DU QUOIN, IL 62832
Location Phone
(618) 542-8702
Mailing Address
4241 HIGHWAY 14 W CHRISTOPHER, IL 62822
Is Sole Proprietor?
No
Enumeration Date
09-13-2018
Last Update Date
09-13-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
043125988
License State
IL
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Reviews for MACIE M CLARK LPN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497238612
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187431662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 3 + 1 + 6 + 6 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1497238612 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932692852 REBECCA LOUCKS RN
Individual
Registered Nurse1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702
1386123347 TERESA MCBRIDE LPN
Individual
Licensed Practical Nurse1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 724-2401
1619957297CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702
1508960915 TAMARA COLLARD P.A.
Individual
Physician Assistant1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702
1598701401DR. SHAHEDA M MANSURI MD
Individual
General Practice1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702
1194064774MS. MARGARET ANN HOWARD LCSW
Individual
Social Worker (Clinical)1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702
1710516604MISS GORANA MICEVIC
Individual
Physician Assistant1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702
1508438433 JACOB HILL LPN
Individual
Licensed Practical Nurse1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702
1205387651 MICHAELA DAVIS FNP
Individual
Nurse Practitioner (Family)1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702
1336887397 MARY MARSHALL LPN
Individual
Licensed Practical Nurse1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 724-2401
1154991131 JILL MARIE FAIRBANKS FNP-C
Individual
Nurse Practitioner (Family)1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702
1467456798DR. SUZANNE BURGE MD
Individual
Family Medicine1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702
1275854853 BENJAMIN T RATHERT MD
Individual
Family Medicine1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702
1285128504 CHARELLE OCTAVIA SMITH MD
Individual
Family Medicine1564 S WASHINGTON ST
DU QUOIN, IL 62832
(618) 542-8702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497238612, enumerated in the NPI registry as an "individual" on September 13, 2018

The provider is located at 1564 S Washington St Du Quoin, Il 62832 and the phone number is (618) 542-8702

The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X

This NPI record was last updated on September 13, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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