Nathanial Bradley Clark in Gurnee - Chiropractor

Nathanial Bradley Clark - NPI 1437339678

Nathanial Bradley Clark is a Chiropractor in Gurnee, Illinois. Nathanial Bradley Clark practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Nathanial Bradley Clark is 1437339678. The last update date is 2011-03-28.

Nathanial Bradley Clark's current location address is 1475 N Dilleys Rd, Gurnee, Illinois. You can contact this provider via phone number 8472448600 and fax number 8472448602. The mailing address for Nathanial Bradley Clark is 1475 N Dilleys Rd, Gurnee, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Nathanial Bradley Clark
Address 1475 N Dilleys Rd, Gurnee, Illinois
Phone Number 8472448600
Fax Number 8472448602
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1437339678
Provider Enumeration Date 2007-11-05
Last Updated Date 2011-03-28

Provider Mailing Address Detail

Address 1475 N Dilleys Rd
City Gurnee
State Illinois (IL)
Post Code 600311708
Phone Number 8472448600
Fax Number 8472448602

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 38011046
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Nathanial Bradley Clark

What is the unique identifier code issued to Nathanial Bradley Clark by the Centers for Medicare & Medicaid Services (CMS)?

The Nathanial Bradley Clark has been assigned the NPI (National Provider Identifier) 1437339678. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Nathanial Bradley Clark is physically located?

The Nathanial Bradley Clark is physically situated at the following address: 1475 N Dilleys Rd, Gurnee, IL, 600311708.

What is Nathanial Bradley Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Nathanial Bradley Clark is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1437339678 to Nathanial Bradley Clark?

The Nathanial Bradley Clark received its 1437339678 assignment from the Centers for Medicare & Medicaid Services on 2007-11-05.

As of what date was the information pertaining to Nathanial Bradley Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Nathanial Bradley Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-03-28.

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