Nathanial Clark, D.c., S.c.

NPI 1477736221 - Chiropractor - 111N00000X

NPI Details
NPI 1477736221
Enumeration Date 12/14/2007
Last Updated 03/28/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name NATHANIAL B NATHANIAL
Position OWNER/PRESIDENT
Phone (847) 244-8600
Fax (847) 244-8602
Practice Location
1475 N DILLEYS RD
UNIT 2
GURNEE IL, 60031-1708, US
Phone (847) 244-8600
Fax (847) 244-8602
Business Location
1475 N DILLEYS RD
UNIT 2
GURNEE IL, 60031-1708, US
Phone (847) 244-8600
Fax (847) 244-8602
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038011046
Remove 1477736221 NPI Number
 

According to our database, Nathanial Clark, D.c., S.c. NPI is 1477736221, taxonomy code is 111N00000X and license number is 038011046, license state is located at Illinois. Nathanial Clark, D.c., S.c. physically located at 1475 N Dilleys Rd, Gurnee IL, 60031-1708. NPI Number 1033115704 has the healthcare provider type.

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1477736221 NPI number is provided on an as is basis without warranty of any kind. 1477736221 is maintained by the National Plan & Provider Enumeration System. The contents of Nathanial Clark, D.c., S.c. are for informational purposes only.