| Clark Chiropractic Center, Llc | |
|
4900 N Glen Park Place Rd Ste B, Peoria, IL 61614-4685 | |
| (309) 645-9665 | |
| Not Available |
| Full Name | Clark Chiropractic Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4900 N Glen Park Place Rd Ste B, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215090337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | Jennifer M Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144389024 PECOS PAC ID: 5597869875 Enrollment ID: I20070326000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Chiropractic Center, Llc 1006 W Centennial Dr, Peoria, IL 61614-2828 Ph: () - | Clark Chiropractic Center, Llc 4900 N Glen Park Place Rd Ste B, Peoria, IL 61614-4685 Ph: (309) 645-9665 |
T Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7800 N Sommer St, Ste 203, Peoria, IL 61615 Phone: 309-691-9767 Fax: 309-691-9457 | |
Cotton Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 901 W Glen Ave, Suite A, Peoria, IL 61614 Phone: 309-693-1212 Fax: 309-693-2147 | |
Dr. Robert Daniel Kelch, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7213 N Allen Rd, Peoria, IL 61614 Phone: 309-693-8448 | |
Mccavitt Chiropractic Center, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 3711 N Sheridan Rd, Peoria, IL 61614 Phone: 309-688-2271 Fax: 309-688-0920 | |
Shawn Durbin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1200 W Loucks Ave, Peoria, IL 61604 Phone: 309-688-4484 Fax: 309-688-4485 | |
Dr. Matthew Ryan Howard, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5901 N Prospect Rd, Suite 101, Peoria, IL 61614 Phone: 309-691-9355 Fax: 309-691-9357 |