Individual
DR. JENNIFER M. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4900 N GLEN PARK PLACE RD, SUITE B, PEORIA, IL 61614-4679
(309) 645-9665
Mailing address
1006 W CENTENNIAL DR, PEORIA, IL 61614-2828
(309) 692-9228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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