DR. CONNOR LAVALLIE DC
NPI 1205354503
Chiropractor in St Charles, IL

Active since September 07, 2017Accepts Medicare Assignment
240 W RIVER DR, ST CHARLES, IL 60174(331) 442-4081 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2024, Apr 12, 2019 (2 updates tracked since 2019).

About Dr. Connor Lavallie Dc NPPES

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

DR. CONNOR LAVALLIE DC (NPI 1205354503) is an individual chiropractor in St Charles, Illinois, licensed in Illinois (038013140) and active in the NPI registry since September 2017. He is a graduate of Life Chiropractic College (2017).

NPPES Registry Identity

NPI1205354503
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CONNOR LAVALLIECredential: DC
Location Address240 W RIVER DRSt Charles, IL 60174
Mailing Address240 W River DrSt Charles, IL 60174-5535 · (331) 442-4081
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2017
Enumeration DateSeptember 7, 2017
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1205354503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038013140
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.
240 W RIVER DR, St Charles, IL 60174

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Connor Lavallie Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547524886
PECOS Enrollment IDI20180514001227

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
89 services11 patients

Other Providers at the Same Location NPPES 3

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

Dietitian, Registered
240 W RIVER DR
ST CHARLES, IL 60174
Chiropractor
240 W RIVER DR
ST CHARLES, IL 60174
Chiropractor
240 W RIVER DR
ST CHARLES, IL 60174

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 Connor Lavallie's NPI number?

The NPI number for Connor Lavallie is 1205354503. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Where is Connor Lavallie located?

Connor Lavallie practices at 240 W River Dr, St Charles, IL 60174. The listed phone number is (331) 442-4081.

What is Connor Lavallie's specialty?

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

Is Connor Lavallie enrolled in Medicare?

Yes. Connor Lavallie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Connor Lavallie was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.