Individual
DR. KEVIN JOHN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2815 83RD ST, DARIEN, IL 60561-1660
(630) 481-6690
Mailing address
2815 83RD ST, DARIEN, IL 60561-1660
(630) 481-6690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012604
IL
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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