Clark Chiropractic Center, LLC

NPI #1215090337 in Peoria, Illinois

Provider Information

NPI Number: 1215090337
Entity Type: Organization
Organization Name: Clark Chiropractic Center, LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4900 N GLEN PARK PLACE RD STE B
City: Peoria
State: Illinois
ZIP Code: 61614-4685
Phone: (309) 645-9665

Authorized Official

Name: DR. JENNIFER M. CLARK, D.C.
Title: OWNER
Phone: (309) 645-9665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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