NATHANIAL CLARK D.C. S.C. NPI 1477736221

NPI Information

  • NPI: 1477736221
  • Provider Name: NATHANIAL CLARK, D.C., S.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 1475 N DILLEYS RD
    UNIT 2
    GURNEE, IL
    ZIP 60031
  • Phone: (847) 244-8600

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NPI Details

NATHANIAL CLARK, D.C., S.C. is a chiropractor in Gurnee, IL. The provider is 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. NATHANIAL CLARK, D.C., S.C. NPI is 1477736221. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1475 N DILLEYS RD
UNIT 2
GURNEE, IL
ZIP 60031-708
Phone: (847) 244-8600
Fax: (847) 244-8602

The provider's authorized official is Nathanial B Clark .
The authorized official title is Owner/president and has the following contact phone number (847) 244-8600.

The enumeration date for this NPI number is 12/14/2007 and was last updated on 3/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038011046ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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