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HAVEN CHIROPRACTIC CARE, PC
NPI 1205600863
Clinic/Center in O Fallon, IL

Active since November 14, 2023
102 WILLOW DR STE A, O FALLON, IL 62269(618) 799-0690 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Haven Chiropractic Care, Pc NPPES

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

HAVEN CHIROPRACTIC CARE, PC (NPI 1205600863) is a healthcare organization registered as a clinic/center in O Fallon, Illinois and active in the NPI registry since November 2023. The organization lists Randi Tyler, President, as its authorized official.

NPPES Registry Identity

NPI1205600863
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHAVEN CHIROPRACTIC CARE, PC
Location Address102 WILLOW DR STE AO Fallon, IL 62269-1073
Mailing Address102 Willow Dr Ste AO Fallon, IL 62269-1073 · (618) 799-0690
Phone(618) 799-0690
Organization SubpartNo
Authorized OfficialRandi TylerPresident · (618) 799-0690
Enumeration DateNovember 14, 2023
NPPES CertifiedNovember 14, 2023
✔ NPI 1205600863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
102 WILLOW DR STE A, O Fallon, IL 62269
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Other Providers at the Same Location NPPES

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

DR. RANDI R TYLER D.C.
Chiropractor
102 WILLOW DR STE A
O FALLON, IL 62269
St. Clair County (618) 799-0690

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 Haven Chiropractic Care, PC's NPI number?

The NPI number for Haven Chiropractic Care, PC is 1205600863. It was assigned to this organization in the NPPES registry on November 14, 2023.

Where is Haven Chiropractic Care, PC located?

Haven Chiropractic Care, PC is located at 102 Willow Dr Ste A, O Fallon, IL 62269. The listed phone number is (618) 799-0690.

What is Haven Chiropractic Care, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Haven Chiropractic Care, PC was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.