Mt. Vernon Chiropractic Clinic, Pllc
LBN: Mt. Vernon Chiropractic Clinic, Pllc
Mt. Vernon Chiropractic Clinic, Pllc is an health care organization with primary practice located at 3505 Broadway St , Mount Vernon IL 62864-2202. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Mt. Vernon Chiropractic Clinic, Pllc can be contacted via phone (618) 242-4554, or through Drake, Tamara Lynn via phone (618) 242-4554.
Contact Information
Primary practice address
3505 Broadway St
Mount Vernon IL 62864-2202
Phone: (618) 242-4554
Fax: (618) 242-4653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X |
Profile Details
| NPI number | 1639019169 |
|---|---|
| LBN Legal business name | Mt. Vernon Chiropractic Clinic, Pllc |
| DBA Doing business as | |
| Authorized official | Drake, Tamara Lynn Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 1st, 2026 |
| Last updated | Apr 1st, 2026 - about 7 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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