CLARK CHIRO S.C.
NPI 1306364575
Chiropractor in Darien, IL

Active since September 07, 2017
2815 83RD ST, DARIEN, IL 60561(630) 481-6690 Get Directions Write a Review

NPPES record last updated: September 7, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clark Chiro S.c. NPPES

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

CLARK CHIRO S.C. (NPI 1306364575) is a healthcare organization registered as a chiropractor in Darien, Illinois and active in the NPI registry since September 2017. The organization lists Kevin John Clark, President, as its authorized official.

NPPES Registry Identity

NPI1306364575
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCLARK CHIRO S.C.
Location Address2815 83RD STDarien, IL 60561-1660
Mailing Address841 W Monroe St Apt 2aChicago, IL 60607-2670 · (630) 202-4696
Organization SubpartNo
Authorized OfficialKevin John ClarkPresident · (630) 481-6690
Enumeration DateSeptember 7, 2017
✔ NPI 1306364575 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.
2815 83RD ST, Darien, IL 60561

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark Chiro S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clark Chiro S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1598294001
2815 83RD ST
Darien, IL 60561
(630) 481-6690
4.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chiro S.C.'s NPI number?

The NPI number for Clark Chiro S.C. is 1306364575. It was assigned to this organization in the NPPES registry on September 7, 2017.

Where is Clark Chiro S.C. located?

Clark Chiro S.C. is located at 2815 83rd St, Darien, IL 60561. The listed phone number is (630) 481-6690.

What is Clark Chiro S.C.'s specialty?

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

Is Clark Chiro S.C. enrolled in Medicare?

Yes. Clark Chiro S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clark Chiro S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Clark Chiro S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clark Chiro S.C. was last updated on September 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.