Individual provider · Type 1 NPI
Jill M. Clark, DC
Chiropractor · Chicago, IL
NPI number
1407164353
Active
Practice location
401 W Ontario St, Suite 100
Chicago, IL 60654-6957
Mailing address
1444 W Ohio St # 3F
Chicago, IL 60642-7436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.011762 (IL) |
| Chiropractor | 111N00000X | 007265 (IA) |
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 1407164353
Jill M. Clark, DC's National Provider Identifier is 1407164353, issued on Sep 14, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 14, 2010.