OrganizationActive
Lisa M. Clark
NPI 1346533635 · Early Intervention Provider Agency · Calumet City, IL
Provider details
- NPI number
- 1346533635
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lisa Clark, Speech-Language Pathologist(708) 868-0795
- License
- 22005039A (IN)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11 Elizabeth St
Calumet City, IL 60409-5252
Phone: (707) 868-0795
Street-level locationGet directions
Mailing address
11 Elizabeth St
Calumet City, IL 60409-5252
Registry dates
- Enumerated
- 2011-05-19
- Last updated
- 2011-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.