Organization
CLARK CHIRO S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JOHN CLARK D.C. (PRESIDENT)
(630) 481-6690
Entity
Organization
Contact information
Practice address
2815 83RD ST, DARIEN, IL 60561-1660
(630) 481-6690
Mailing address
841 W MONROE ST APT 2A, CHICAGO, IL 60607-2670
(630) 202-4696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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