Clark Chiropractic Center, Llc in Peoria - Chiropractor
Clark Chiropractic Center, Llc - NPI 1215090337
Clark Chiropractic Center, Llc is a Chiropractor in Peoria, Illinois. Clark Chiropractic Center, Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Clark Chiropractic Center, Llc is 1215090337. The last update date is 2020-08-22.
Clark Chiropractic Center, Llc's current location address is 4900 N Glen Park Place Rd Ste B, Peoria, Illinois. You can contact this provider via phone number 3096459665. The mailing address for Clark Chiropractic Center, Llc is 4900 N Glen Park Place Rd Ste B, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Clark Chiropractic Center, Llc |
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Address | 4900 N Glen Park Place Rd Ste B, Peoria, Illinois |
Phone Number | 3096459665 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Clark M. Jennifer |
Credentials | D.C. |
Telephone Number | 3096459665 |
NPI Number Detail
NPI Number | 1215090337 |
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Provider Enumeration Date | 2006-12-19 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 4900 N Glen Park Place Rd Ste B |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616144685 |
Phone Number | 3096459665 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
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 |
Post Comment/ Review Below
What is the unique identification code assigned to Clark Chiropractic Center, Llc by the Centers for Medicare & Medicaid Services?
The Clark Chiropractic Center, Llc has been issued the NPI (National Provider Identifier) 1215090337. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Clark Chiropractic Center, Llc is physically located?
The Clark Chiropractic Center, Llc is situated at the following address: 4900 N Glen Park Place Rd Ste B, Peoria, IL 616144685.
What is the Clark Chiropractic Center, Llc's area of specialization and corresponding taxonomy classification?
The Clark Chiropractic Center, Llc's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did Clark Chiropractic Center, Llc receive its 1215090337 assignment from the Centers for Medicare & Medicaid Services?
The Clark Chiropractic Center, Llc was assigned its 1215090337 on 2006-12-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Clark Chiropractic Center, Llc most recently updated or revised?
The details related to Clark Chiropractic Center, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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