Organization · Type 2 NPI
Clark Chiropractic Center, LLC
Chiropractor · Peoria, IL
NPI number
1215090337
Active
Practice location
4900 N Glen Park Place Rd Ste B
Peoria, IL 61614-4685
Mailing address
1006 W Centennial Dr
Peoria, IL 61614-2828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: 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 interrelationship with other body systems.
4 other providers at this address
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About NPI 1215090337
Clark Chiropractic Center, LLC's National Provider Identifier is 1215090337, issued on Dec 19, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Peoria, IL. The record was last updated on Aug 22, 2020.