MANGAN CHIROPRACTIC CLINIC, S.C.
NPI 1053634204
Chiropractor in Moline, IL

Active since March 02, 2010
1510 48TH STREET PL, MOLINE, IL 61265(309) 797-4000(309) 797-5041 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mangan Chiropractic Clinic, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANGAN CHIROPRACTIC CLINIC, S.C. (NPI 1053634204) is a healthcare organization registered as a chiropractor in Moline, Illinois and active in the NPI registry since March 2010. The organization lists Harlene R Mangan, President, as its authorized official.

NPPES Registry Identity

NPI1053634204
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMANGAN CHIROPRACTIC CLINIC, S.C.
Location Address1510 48TH STREET PLMoline, IL 61265-3637
Mailing Address1510 48th Street PlMoline, IL 61265-3637 · (309) 797-4000 · Fax (309) 797-5041
Fax(309) 797-5041
Organization SubpartNo
Authorized OfficialHarlene R ManganPresident · (309) 797-4000
Enumeration DateMarch 2, 2010
NPI 1053634204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038006108
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1510 48TH STREET PL, Moline, IL 61265

Other Identifiers 4

Medicare PIN204075IL
Medicare UPINT87547IL
Other08182055IL · Blue Cross Blue Shield
Medicaid038006108IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hearing Instrument Specialist
1510 48TH STREET PL
MOLINE, IL 61265
Chiropractor
1510 48TH STREET PL
MOLINE, IL 61265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mangan Chiropractic Clinic, S.C.'s NPI number?

The NPI number for Mangan Chiropractic Clinic, S.C. is 1053634204. It was assigned to this organization in the NPPES registry on March 2, 2010.

Where is Mangan Chiropractic Clinic, S.C. located?

Mangan Chiropractic Clinic, S.C. is located at 1510 48th Street Pl, Moline, IL 61265. The listed phone number is (309) 797-4000.

What is Mangan Chiropractic Clinic, S.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Mangan Chiropractic Clinic, S.C. was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.