TRI-STATE CLINIC OF CHIROPRACTIC, PC
NPI 1699725424
Chiropractor in Mount Carmel, IL

Active since May 11, 2006
229 W 2ND ST, MOUNT CARMEL, IL 62863(618) 262-2222(618) 262-2224 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tri-state Clinic Of Chiropractic, Pc NPPES

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

TRI-STATE CLINIC OF CHIROPRACTIC, PC (NPI 1699725424), doing business as Kennard Clinic Of Chiropractic, Pc, is a healthcare organization registered as a chiropractor in Mount Carmel, Illinois and active in the NPI registry since May 2006. The organization lists Tara Ellen Horrall, President, as its authorized official.

NPPES Registry Identity

NPI1699725424
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTRI-STATE CLINIC OF CHIROPRACTIC, PC
Location Address229 W 2ND STMount Carmel, IL 62863-1608
Mailing Address229 W 2nd StMount Carmel, IL 62863-1608 · (618) 262-2222 · Fax (618) 262-2224
Fax(618) 262-2224
Organization SubpartNo
Authorized OfficialTara Ellen HorrallPresident · (618) 262-2222
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 29, 2015
NPI 1699725424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 060009274
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.
229 W 2ND ST, Mount Carmel, IL 62863

Other Names 1

Former Legal Business NameKennard Clinic Of Chiropractic, Pc

Other Identifiers 1

Medicare UPIN213627IL

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.

Chiropractor
229 W 2ND ST
MOUNT CARMEL, IL 62863
Chiropractor
229 W 2ND ST
MOUNT CARMEL, IL 62863

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 Tri-State Clinic Of Chiropractic, PC's NPI number?

The NPI number for Tri-State Clinic Of Chiropractic, PC is 1699725424. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider was formerly known as Kennard Clinic Of Chiropractic, PC.

Where is Tri-State Clinic Of Chiropractic, PC located?

Tri-State Clinic Of Chiropractic, PC is located at 229 W 2nd St, Mount Carmel, IL 62863. The listed phone number is (618) 262-2222.

What is Tri-State Clinic Of Chiropractic, PC'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 Tri-State Clinic Of Chiropractic, PC was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.