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Dr. Jeremy R Clark, DC
Chiropractor in Vandalia, Illinois
NPI 1710018395

Jeremy R Clark is a Chiropractor based in Vandalia, IL. Jeremy R Clark practices in Vandalia, IL and has the professional credentials of DC. The NPI Number for Jeremy R Clark is 1710018395 and holds a License No. IL038-009768 (Illinois).

The current practice location address for Jeremy R Clark is 100 N Kennedy Blvd, Vandalia, IL and can be reached out via phone at 618-531-1141.

Location: 100 N Kennedy Blvd, Vandalia, IL, 62471-2314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710018395
Provider Name
Jeremy R Clark
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
100 N Kennedy Blvd, Vandalia, IL, 62471-2314
Phone Number
618-531-1141
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 N Kennedy Blvd
City
Vandalia
State
Illinois
Zip
62471-2314
Phone Number
618-531-1141
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Kennedy Blvd
City
Vandalia
State
Illinois
Zip
62471-2314
Phone Number
618-531-1141
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
IL038-009768 (Illinois)
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.
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