OrganizationActiveAccepts Medicare
Clark Chiropractic Center, LLC
NPI 1215090337 · Chiropractor · Peoria, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1215090337
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jennifer Clark, Owner(309) 645-9665
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4900 N Glen Park Place Rd Ste B
Peoria, IL 61614-4685
Phone: (309) 645-9665
Street-level locationGet directions
Mailing address
1006 W Centennial Dr
Peoria, IL 61614-2828
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.