DR. JILL M CLARK (NPI# 1407164353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407164353 |
Entity Type | Individual |
Full Name | DR. JILL M CLARK |
Credential | D.C. |
Practice Address |
401 W Ontario St Suite 100 Chicago IL 60654-6957 |
Mailing Address |
1444 W Ohio St # 3f Chicago IL 60642-7436 |
Practice Telephone | 3129433484 |
Mailing Telephone | 5633707626 |
Enumeration Date | 2010-09-14 |
Last Update Date | 2010-09-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | 007265 | IA | Chiropractic Providers |
Y | 111N00000X | Chiropractor | 038.011762 | IL | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922368075 | Jill M Clark | Speech-Language Pathologist | 147 Trailside Cir, Hiram, GA 30141-3277 | 2012-05-23 |
1861777096 | Jill B. Clark | Counselor | 5123 Old Plank Rd, Onondaga, MI 49264-9707 | 2011-10-19 |
1174850739 | Jill A Clark | Massage Therapist | 54 C Utica St., Hamilton, NY 13346 | 2009-11-03 |
1639351448 | Jill Page Clark | Occupational Therapy Assistant | 1500 Woodline Drive, Raleigh, NC 27603-5760 | 2007-12-04 |
1487179255 | Jill Anne Clark | Social Worker | 401 Broad Street, Johnstown, PA 15906 | 2017-08-13 |
1598118648 | Jill Clark | Social Worker | 255 Elk Dr Ste C, Burleson, TX 76028-8691 | 2016-07-13 |
1871852681 | Jill Clark | Counselor | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2012-05-14 |
1205133246 | Jill Clark | Pharmacist | 1156 Carter Rd, Owensboro, KY 42301-2644 | 2011-02-25 |
1295922052 | Jill Elisabeth Clark | Colon & Rectal Surgery | 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348 | 2007-09-26 |
1750573804 | Jill Clark | Social Worker | 10373 Ne Hancock St, Suite 200, Portland, OR 97220-3873 | 2007-08-13 |
Street Address |
401 W ONTARIO ST SUITE 100 |
City | CHICAGO |
State | IL |
Zip Code | 60654-6957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053411926 | Geraldine Cahill-mohen | Physical Therapist | 401 W Ontario St, Suite 100, Chicago, IL 60610-6957 | 2006-09-22 |
1063754943 | Jacoby Chiropractic & Sports Performance | Chiropractor | 401 W Ontario St, Suite 150, Chicago, IL 60654-6957 | 2013-03-19 |
1568724292 | Patrick Malartsik Dc LLC | Chiropractor | 401 W Ontario St, Suite 150, Chicago, IL 60654-6957 | 2012-06-08 |
1114155728 | Dr. Gregory S. Hoffman | Chiropractor | 401 W Ontario St, Suite 100, Chicago, IL 60654-6957 | 2009-06-23 |
1063632529 | Alan M Tan | Physical Therapist | 401 W Ontario St, Suite 100, Chicago, IL 60610-6957 | 2007-04-26 |
1528123973 | For Your Health & Wellness | Internal Medicine | 401 W Ontario St, Suite 220, Chicago, IL 60654 | 2006-12-26 |
1386733012 | Marcy R Modica | Physical Therapist | 401 W Ontario St, Suite 100, Chicago, IL 60610-6957 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
Find all providers in zip 60654 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
1104448547 | Katie Niebur | Chiropractor | 6909 W Medill Ave, Chicago, IL 60707-2910 | 2020-05-07 |
1063031003 | Bazan's Health Center Inc | Chiropractor | 4012 W 63rd St, Chicago, IL 60629-4606 | 2020-04-09 |
1346875861 | Christopher A Haslett Dc P.c | Chiropractor | 400 N Wells St Ste 300, Chicago, IL 60654-2761 | 2020-03-04 |
1245870138 | Be Well Chiropractic Clinics LLC | Chiropractor | 3648 W Montrose Ave Apt 2e, Chicago, IL 60618-1979 | 2020-01-08 |
1982242186 | Michael Tal Risher | Chiropractor | 2378 N Elston Ct, Chicago, IL 60614-2929 | 2019-12-18 |
1821632423 | Rachel Nicole Leibovitz | Chiropractor | 624 W Belmont Ave, Chicago, IL 60657-4511 | 2019-11-06 |
1053954180 | Aaron Alexander Bryant | Chiropractor | 125 N Halsted St Ste 202, Chicago, IL 60661-2160 | 2019-10-22 |
1073156238 | Omar A. Bleibel | Chiropractor | 4801 W Peterson Ave Ste 505, Chicago, IL 60646-5795 | 2019-10-21 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.