{"npi":"1215090337","type":"NPI-2","status":"active","name":{"display":"Clark Chiropractic Center, LLC","other":[],"organization_name":"CLARK CHIROPRACTIC CENTER, LLC","authorised_official":"Jennifer Clark"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"IL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4900 N GLEN PARK PLACE RD STE B","city":"PEORIA","state":"IL","postal_code":"616144685","country_code":"US","phone":"3096459665"},{"purpose":"MAILING","street_1":"1006 W CENTENNIAL DR","city":"PEORIA","state":"IL","postal_code":"616142828","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070326000413","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"6305940685"}]},"enumeration_date":"2006-12-19","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}