Jeffery Clark, D.C.
Chiropractor in Cary, IL. Individual provider (NPI-1).
NPI number1992867709
StatusActive
Last updated in NPPESMar 5, 2008
Details
- NPI
- 1992867709
- Entity type
- Individual (NPI-1)
- Name
- Jeffery Clark
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2006
- Last updated
- Mar 5, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038-008727 | IL | Yes |
| 111NS0005X | Chiropractor, Sports Physician | 3585 | IL |
Practice location
3202 Northwest HwySte E
Cary, IL 60013-3507
Phone 847-516-8000 · Fax 847-516-8959
Mailing address
3202 Northwest HwySte E
Cary, IL 60013-3507
Phone 847-516-8000 · Fax 847-516-8959
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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