Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801538251 Individual Practitioner Female Practitioner

Dr. Kasandria Clark , MD

Pediatrics • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kasandria Clark, MD is a certified Pediatrics practicing in Chicago, IL. With approximately 4 years of clinical experience since completing medical education in 2022, Dr. Clark delivers high-quality medical care to the local community at 1555 W HOWARD ST.

Dr. Clark does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1555 W Howard St

Chicago, IL 606261707

Telephone 7737647146
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Chicago, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -12.4 yrs vs City Avg
City Avg: 16.4 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
1180 Specialists

Practicing in Chicago, IL (3277 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (4 Years) 4 Yrs
Chicago Specialty Average (16.4 Years) 16.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036172412

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1675 Dempster St

Park Ridge, IL 600681110

Phone: 8473189300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Luke Agase , PA-C

Physician Assistant

NPI 1154132538

Physician Assistant (Certified)

NPI 1225876816

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Frances Locke-Rosenberg , CNM

Advanced Practice Midwife

NPI 1588614218

Certified Nurse Midwife

NPI 1710931621

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 09, 2025

Registered at 1555 W HOWARD ST, CHICAGO, IL 606261707 (Tel: 7737647146)

📍
Updated Business Mailing Address June 09, 2025

Registered at 4104 N WESTERN AVE APT 3N, CHICAGO, IL 606182848 (Tel: 6185584233)

NPI Profile Active April 07, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2022

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8473189300)

📍
Updated Business Mailing Address April 07, 2022

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8473189300)

👤
Provider Name / Credentials Updated April 07, 2022

Recorded as KASANDRIA CLARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801538251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2022
Last Update: June 09, 2025
Sole Proprietor: No

Mailing Address

4104 N Western Ave Apt 3n

Chicago, IL 606182848

Phone: 6185584233

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.