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MT. VERNON CHIROPRACTIC CLINIC, PLLC
NPI 1639019169
Chiropractor in Mount Vernon, IL

Active since April 01, 2026
3505 BROADWAY ST, MOUNT VERNON, IL 62864(618) 242-4554(618) 242-4653 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mt. Vernon Chiropractic Clinic, Pllc NPPES

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

MT. VERNON CHIROPRACTIC CLINIC, PLLC (NPI 1639019169) is a healthcare organization registered as a chiropractor in Mount Vernon, Illinois and active in the NPI registry since April 2026. The organization lists Tamara Lynn Drake, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639019169
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMT. VERNON CHIROPRACTIC CLINIC, PLLC
Location Address3505 BROADWAY STMount Vernon, IL 62864-2202
Mailing Address3505 Broadway StMount Vernon, IL 62864-2202 · (618) 242-4554 · Fax (618) 242-4653
Phone(618) 242-4554
Fax(618) 242-4653
Organization SubpartNo
Authorized OfficialTamara Lynn DrakeOffice Manager · (618) 242-4554
Enumeration DateApril 1, 2026
NPPES CertifiedApril 1, 2026
✔ NPI 1639019169 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.
3505 BROADWAY ST, Mount Vernon, IL 62864
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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 3

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

ANDERSON FAMILY PRACTICE
Clinic/Center (Primary Care)
3505 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-7788
JOHN HALL, M.D., P.C.
Family Medicine (Adult Medicine)
3505 BROADWAY ST, STE A
MOUNT VERNON, IL 62864
Jefferson County (618) 244-7788
CROSSROADS PHYSICIAN CORP
Clinic/Center (Rural Health)
3505 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 241-8772

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 Mt. Vernon Chiropractic Clinic, PLLC's NPI number?

The NPI number for Mt. Vernon Chiropractic Clinic, PLLC is 1639019169. It was assigned to this organization in the NPPES registry on April 1, 2026.

Where is Mt. Vernon Chiropractic Clinic, PLLC located?

Mt. Vernon Chiropractic Clinic, PLLC is located at 3505 Broadway St, Mount Vernon, IL 62864. The listed phone number is (618) 242-4554.

What is Mt. Vernon Chiropractic Clinic, PLLC'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 Mt. Vernon Chiropractic Clinic, PLLC was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.