| Dr Jeremy R Clark, DC | |
|
100 N Kennedy Blvd, Vandalia, IL 62471-2314 | |
| (618) 531-1141 | |
| Not Available |
| Full Name | Dr Jeremy R Clark |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 100 N Kennedy Blvd, Vandalia, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710018395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | IL038-009768 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy R Clark, DC 100 N Kennedy Blvd, Vandalia, IL 62471-2314 Ph: (618) 531-1141 | Dr Jeremy R Clark, DC 100 N Kennedy Blvd, Vandalia, IL 62471-2314 Ph: (618) 531-1141 |
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