What is Jeremy Clark's NPI number?

Jeremy Clark's National Provider Identifier (NPI) is 1710018395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeremy Clark's specialty?

Jeremy Clark is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).

Where is Jeremy Clark located?

Jeremy Clark's practice location on file with NPPES is 100 N Kennedy Blvd, Vandalia, IL 62471-2314.

What is Jeremy Clark's phone number?

The practice phone number listed in the NPPES registry for Jeremy Clark is (618) 531-1141.

Is Jeremy Clark's NPI active?

Yes — Jeremy Clark's NPI (1710018395) is active in the NPPES registry as of the last update on 2011-06-03.

IndividualActive

Jeremy Clark, D.C.

NPI 1710018395 · Chiropractor · Vandalia, IL

Jeremy Clark, D.C. is a Chiropractor provider in Vandalia, IL (NPI 1710018395).

Provider details

NPI number: 1710018395
Entity type: Individual
Primary specialty: ChiropractorChiropractic Providers
Credential: D.C.
Sex: Male
Sole proprietor: No
License: IL038-009768 (IL)

Specialties & taxonomies

ChiropractorPrimary111N00000XLicense IL038-009768 (IL)
Chiropractic Providers

Profile Score

Detailed profile(89/100 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

100 N Kennedy Blvd

Vandalia, IL 62471-2314

Phone: (618) 531-1141

Street-level locationGet directions

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Mailing address