Clark, Jeffery

Clark, Jeffery is an individual health care provider with primary practice located at 3202 Northwest Hwy Ste E, Cary IL 60013-3507. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Clark, Jeffery can be contacted via phone (847) 516-8000.

Contact Information

Primary practice address
3202 Northwest Hwy Ste E Cary IL 60013-3507
Phone: (847) 516-8000
Fax: (847) 516-8959
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-008727 Illinois
Chiropractic Providers / Sports Physician 111NS0005X 3585 Illinois

Profile Details

NPI number 1992867709
LBN Legal business name Clark, Jeffery
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Mar 5th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992867709 NPPES
Illinois Other 05622903 BLUE CROSS BLUE SHIELD

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