DR. KEVIN JOHN CLARK (NPI# 1598294001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598294001 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JOHN CLARK |
| Credential | DC |
| Practice Address |
2815 83rd St Darien IL 60561-1660 |
| Practice Telephone | (630) 481-6690 |
| Mailing Telephone | 6304816690 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038012604 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124402516 | Kevin Michael Clark | Dentist | 8 Inwood Peak, San Antonio, TX 78248-1654 | 2015-07-15 |
| 1275976276 | Kevin P Clark | Pharmacist | 215 Sixth Street, Hotchkiss, CO 81419-0928 | 2013-04-10 |
| 1265736508 | Kevin Clark | Acupuncturist | 415 Route 34, Suite 210, Colts Neck, NJ 07722-2522 | 2010-12-30 |
| 1033361381 | Kevin Dewitt Clark | Acupuncturist | 130 N Dixie Hwy, Hollywood, FL 33020-6704 | 2008-10-17 |
| 1891859278 | Kevin Landis Clark | Optometrist | 10415 Gateway Blvd W, El Paso, TX 79925-7905 | 2006-12-20 |
| 1609934397 | Kevin John Clark | Counselor | 251 E 5th St, Brooklyn, NY 11218-2403 | 2006-12-05 |
| 1912947144 | Kevin Grafton Clark | Optometrist | 5310 Highway 25, Suite 5, Flowood, MS 39232-6148 | 2006-06-07 |
| 1235127291 | Kevin N Clark | Surgery | 425 Medical Dr, Ste 101, Bountiful, UT 84010-4945 | 2005-10-12 |
| 1497376958 | Kevin P. Clark Sr. | Social Worker | 30 Harriman Dr, Goshen, NY 10924-2410 | 2020-05-06 |
| 1245851104 | Kevin Clark | Counselor | 3929 Old Lee Hwy Ste 92c, Fairfax, VA 22030-2421 | 2020-05-01 |
| Street Address |
2815 83RD ST |
| City | DARIEN |
| State | IL |
| Zip Code | 60561-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306364575 | Clark Chiro S.c. | Chiropractor | 2815 83rd St, Darien, IL 60561-1660 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413190 | Rachel Lynn Boehmert | Behavioral Analyst | 8149 South Cass Avenue, Darien, IL 60561 | 2020-07-02 |
| 1033571096 | Jeanette Marinier | Physician Assistant | 7421 Cass Ave, Darien, IL 60561 | 2016-03-28 |
| 1154750024 | Chicago Sciences Medical Corporation | Internal Medicine | 8348 Lemont Road, Darien, IL 60561 | 2013-11-01 |
| 1598053761 | Illinois Injury & Rehab Centers, Ltd | Chiropractor | 2841 83rd Court, Suite 109, Darien, IL 60561 | 2011-07-21 |
| 1699064824 | Valerie Laniosz | Dermatology | 8110 S Cass Avenue, Darien, IL 60561 | 2011-03-28 |
| 1619290921 | Caring Partners Health Care, Inc. | Home Health | 17 W 674 Concord Place, Darien, IL 60561 | 2010-03-02 |
| 1669689584 | Julie R Marshall | Registered Nurse | 6636 Ridge Road, Darien, IL 60561 | 2007-05-17 |
| 1083737993 | Cheryl Faith Daley | Developmental Therapist | 121 67th St, Darien, IL 60561 | 2007-04-06 |
| 1619072550 | Research Design Inc | Durable Medical Equipment & Medical Supplies | 8177 S Cass Ave, Darien, IL 60561 | 2006-09-14 |
| 1467556530 | Suzanne Klucher Kasang | Dentist | 805 Plainfield Road, Suite 212, Darien, IL 60561 | 2006-09-11 |
| Find all providers in zip 60561 | ||||
| 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 |
|---|---|---|---|---|
| 1598053761 | Illinois Injury & Rehab Centers, Ltd | Chiropractor | 2841 83rd Court, Suite 109, Darien, IL 60561 | 2011-07-21 |
| 1225293228 | A Journey To Wellness, Sc | Chiropractor | 7525 Nantucket Dr, Unit 208, Darien, IL 60561-4762 | 2008-07-20 |
| 1174719637 | Jeanne E Castellucci | Chiropractor | 747 Post Rd, Darien, CT 06820 | 2007-09-19 |
| 1376751446 | Lisa Nicole Kelley | Chiropractor | 7522 Grant St, Darien, IL 60561-4419 | 2007-05-20 |
| 1518188713 | Mark Allen Haddock | Chiropractor | 1225 A Northway, Darien, GA 31305-2539 | 2007-05-02 |
| 1225259427 | Tanja E Payne | Chiropractor | 208 Fort King George Drive, Darien, GA 31305-2539 | 2007-05-02 |
| 1750409330 | Edwards Health Center Ltd | Chiropractor | 18w265 73rd Street, Darien, IL 60561-3767 | 2007-03-26 |
| 1225107600 | Anna Maria Martusciello | Chiropractor | 7702 S Cass Ave, Ste220, Darien, IL 60561-5093 | 2006-11-07 |
| 1730279803 | Alan Chun Wah Tang | Chiropractor | 805 Plainfield Rd, Suite 112, Darien, IL 60561-4287 | 2006-10-12 |
| 1841388204 | Brian P Mckay | Chiropractor | 555 Post Road, Darien, CT 06820 | 2006-10-11 |
| Find all providers in DARIEN | ||||
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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.