institution
Mount Vernon Chiropractic Clinic
Clinic/Center in Mount Vernon, Illinois
NPI 1881888105

Mount Vernon Chiropractic Clinic is a Clinic/Center based in Mount Vernon, IL. Mount Vernon Chiropractic Clinic practices in Mount Vernon, IL. The NPI Number for Mount Vernon Chiropractic Clinic is 1881888105 and holds a License No. 038006100 (Illinois).

The current practice location address for Mount Vernon Chiropractic Clinic is 1315 Main St, Mount Vernon, IL and can be reached out via phone at 618-242-4554 and via fax at 618-242-4653.

Location: 1315 Main St, Mount Vernon, IL, 62864-3720
institution
Provider Profile Details
NPI Number
1881888105
Provider Name
Mount Vernon Chiropractic Clinic
Credential
Provider Entity Type
Organization
Address
1315 Main St, Mount Vernon, IL, 62864-3720
Phone Number
618-242-4554
Fax Number
618-242-4653
Provider Enumeration Date
08/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4182010 01 IL BLUE CROSS BLUE SHIELD
038006100 05 IL
350027546 01 IL PALMETTO RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1315 Main St
City
State
Zip
62864-3720
Phone Number
618-242-4554
Fax Number
618-242-4653
person
Provider Business Mailing Address Details
Address
1315 Main St
City
State
Zip
62864-3720
Phone Number
618-242-4554
Fax Number
618-242-4653
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
038006100 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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