Search › Illinois › 111N00000X
Jeremy Clark, D.C
NPI 1710018395 · on the registry since 2007
Practice
- Address
- 100 N Kennedy Blvd
Vandalia, IL 62471 - Phone
- (618) 531-1141
- Organisation at this address
- Pain Relief Center Of Vandalia Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois