Clark Chiropractic Center, LLC
Clark Chiropractic Center, LLC is a healthcare organization registered as Chiropractor in Peoria, IL, holding Type 2 (organization) NPI 1215090337 since 2006. The authorized official on file is Jennifer Clark, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215090337 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Clark Chiropractic Center, LLC |
| Practice address | 4900 N GLEN PARK PLACE RD STE B, Peoria, IL, 61614 |
| Phone | 3096459665 |
| Enumeration date | 2006-12-19 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Jennifer Clark |
|---|---|
| Title | Owner |
| Phone | 3096459665 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | — | IL |
Copy-ready billing details
Provider: Clark Chiropractic Center, LLC NPI: 1215090337 Taxonomy: 111N00000X (Chiropractor) Address: 4900 N GLEN PARK PLACE RD STE B, Peoria, IL, 61614
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720836877 | Tionna Jackson | Individual | Professional Counselor | Peoria, IL |
| 1609601970 | Maria Hight | Individual | Mental Health Counselor | Peoria, IL |
| 1053101022 | Karly Johnson | Individual | Social Worker | Peoria, IL |
| 1710849161 | Jayme Luster | Individual | Mental Health Counselor | Peoria, IL |
Verify this record
Cross-check NPI 1215090337 against the authoritative CMS record: view Clark Chiropractic Center, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Clark Chiropractic Center, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.