Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeremy R Clark, DC

Individual provider Chiropractor · NPI 1710018395

Dr. Jeremy R Clark, DC is a Chiropractor in Vandalia, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

100 N Kennedy Blvd
Vandalia, IL 62471-2314
Phone: (618) 531-1141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence IL038-009768 (IL)

Record details

NPI number1710018395
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESJune 3, 2011

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