Individual
DR. JILL M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
401 W ONTARIO ST, SUITE 100, CHICAGO, IL 60654-6957
(312) 943-3484
Mailing address
1444 W OHIO ST # 3F, CHICAGO, IL 60642-7436
(563) 370-7626
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007265
IA
111N00000X
Chiropractor
Primary
038.011762
IL
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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