Clark Chiropractic Center, Llc

LBN: Clark Chiropractic Center, Llc
Clark Chiropractic Center, Llc is an health care organization with primary practice located at 4900 N Glen Park Place Rd Ste B , Peoria IL 61614-4685. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Clark Chiropractic Center, Llc can be contacted via phone (309) 645-9665, or through Clark, Jennifer M. via phone (309) 645-9665.

Contact Information

Primary practice address
4900 N Glen Park Place Rd Ste B Peoria IL 61614-4685
Phone: (309) 645-9665
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Jennifer M. Doctor of Chiropractic (DC)
Phone: (309) 645-9665

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1215090337
LBN Legal business name Clark Chiropractic Center, Llc
DBA Doing business as
Authorized official Clark, Jennifer M. Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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