MOUNT VERNON CHIROPRACTIC CLINIC
NPI 1881888105
Clinic/Center in Mount Vernon, IL

Active since August 29, 2007
1315 MAIN ST, MOUNT VERNON, IL 62864(618) 242-4554(618) 242-4653 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mount Vernon Chiropractic Clinic NPPES

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

MOUNT VERNON CHIROPRACTIC CLINIC (NPI 1881888105) is a healthcare organization registered as a clinic/center in Mount Vernon, Illinois and active in the NPI registry since August 2007. The organization lists Bradley Ray Drake, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1881888105
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMOUNT VERNON CHIROPRACTIC CLINIC
Location Address1315 MAIN STMount Vernon, IL 62864-3720
Mailing Address1315 Main StMount Vernon, IL 62864-3720 · (618) 242-4554 · Fax (618) 242-4653
Fax(618) 242-4653
Organization SubpartNo
Authorized OfficialBradley Ray DrakeChiropractor · (618) 242-4554
Enumeration DateAugust 29, 2007
NPI 1881888105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in IL · 038006100
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).
1315 MAIN ST, Mount Vernon, IL 62864

Other Identifiers 4

Other350027546IL · Palmetto Rr Medicare
Medicare UPIN782220IL
Other4182010IL · Blue Cross Blue Shield
Medicaid038006100IL

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
1315 MAIN ST
MOUNT VERNON, IL 62864

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 Mount Vernon Chiropractic Clinic's NPI number?

The NPI number for Mount Vernon Chiropractic Clinic is 1881888105. It was assigned to this organization in the NPPES registry on August 29, 2007.

Where is Mount Vernon Chiropractic Clinic located?

Mount Vernon Chiropractic Clinic is located at 1315 Main St, Mount Vernon, IL 62864. The listed phone number is (618) 242-4554.

What is Mount Vernon Chiropractic Clinic'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 Mount Vernon Chiropractic Clinic was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.