Clark, Nathanial Bradley
Clark, Nathanial Bradley is an individual health care provider with primary practice located at 1475 N Dilleys Rd Unit 2, Gurnee IL 60031-1708. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clark, Nathanial Bradley can be contacted via phone (847) 244-8600.Contact Information
Primary practice address
1475 N Dilleys Rd Unit 2
Gurnee IL 60031-1708
Phone: (847) 244-8600
Fax: (847) 244-8602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038011046 | Illinois |
Profile Details
| NPI number | 1437339678 |
|---|---|
| LBN Legal business name | Clark, Nathanial Bradley |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2007 |
| Last updated | Mar 28th, 2011 - about 13 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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