Nathanial Clark, D.C., S.C.
NPI 1477736221ActiveOrganization· Chiropractor· Gurnee, IL
Chiropractor in Gurnee, Illinois, registered in NPPES in December 2007. The authorized official on file is Nathanial B. Clark, D.C., Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477736221 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2007 |
| Last updated in NPPES | Mar 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 038011046 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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