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CLARK CHIROPRACTIC CENTER, LLC
NPI 1215090337
Chiropractor in Peoria, IL

Active since December 19, 2006
4900 N GLEN PARK PLACE RD STE B, PEORIA, IL 61614(309) 645-9665 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clark Chiropractic Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARK CHIROPRACTIC CENTER, LLC (NPI 1215090337) is a healthcare organization registered as a chiropractor in Peoria, Illinois and active in the NPI registry since December 2006. The organization lists Jennifer M. Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1215090337
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCLARK CHIROPRACTIC CENTER, LLC
Location Address4900 N GLEN PARK PLACE RD STE BPeoria, IL 61614-4685
Mailing Address1006 W Centennial DrPeoria, IL 61614-2828
Phone(309) 645-9665
Organization SubpartNo
Authorized OfficialJennifer M. ClarkOwner · (309) 645-9665
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215090337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
4900 N GLEN PARK PLACE RD STE B, Peoria, IL 61614
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARLY L JOHNSON MSW
Social Worker
4900 N GLEN PARK PLACE RD STE B
PEORIA, IL 61614
Peoria County (217) 714-7042
MARIA ANN HIGHT
Counselor (Mental Health)
4900 N GLEN PARK PLACE RD STE B
PEORIA, IL 61614
Peoria County (309) 431-5422
JAYME LUSTER
Counselor (Mental Health)
4900 N GLEN PARK PLACE RD STE B
PEORIA, IL 61614
Peoria County (217) 714-7042
TIONNA JACKSON
Counselor (Professional)
4900 N GLEN PARK PLACE RD STE B
PEORIA, IL 61614
Peoria County (217) 714-7042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Chiropractic Center, LLC's NPI number?

The NPI number for Clark Chiropractic Center, LLC is 1215090337. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Clark Chiropractic Center, LLC located?

Clark Chiropractic Center, LLC is located at 4900 N Glen Park Place Rd Ste B, Peoria, IL 61614. The listed phone number is (309) 645-9665.

What is Clark Chiropractic Center, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Clark Chiropractic Center, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.