1. Home
  2. Directory
  3. Illinois
  4. Granite City
  5. Chiropractor
  6. NPI Profile

DR. MARK EAVENSON DC
NPI 1629037536
Chiropractor in Granite City, IL

Active since March 20, 2006
3986 MARYVILLE RD, GRANITE CITY, IL 62040(618) 797-0618(618) 797-2243 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Eavenson Dc NPPES

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

DR. MARK EAVENSON DC (NPI 1629037536) is an individual chiropractor in Granite City, Illinois and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1629037536
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARK EAVENSONCredential: DC
Location Address3986 MARYVILLE RDGranite City, IL 62040-4191
Mailing Address3986 Maryville RdGranite City, IL 62040-4191 · (618) 797-0618 · Fax (618) 797-2243
Phone(618) 797-0618
Fax(618) 797-2243
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateJuly 19, 2007
✔ NPI 1629037536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
3986 MARYVILLE RD, Granite City, IL 62040
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

ROSS TYLER DC
Chiropractor
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
DR. DAVID L PRIEBE M.D.
Family Medicine (Sports Medicine)
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
JONATHON D BROOKS D.C.
Chiropractor
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
DR. JOSHUA DANIEL WIDEMAN DC
Chiropractor
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
REGENERATION ORTHOPEDICS, LLC
Anesthesiology (Pain Medicine)
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (636) 536-7000
COREY VOSS PT
Physical Therapist
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
AMANDA JUNE BASHAM FNP -BC
Nurse Practitioner
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
MULTI-CARE SPECIALISTS SC
Family Medicine
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618

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 Mark Eavenson's NPI number?

The NPI number for Mark Eavenson is 1629037536. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Mark Eavenson located?

Mark Eavenson practices at 3986 Maryville Rd, Granite City, IL 62040. The listed phone number is (618) 797-0618.

What is Mark Eavenson'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 Mark Eavenson was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.