Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mt Vernon Chiropractic Clinic, PLLC

Organization Chiropractor · NPI 1639019169

Mt Vernon Chiropractic Clinic, PLLC provides Chiropractor services in Mount Vernon, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3505 Broadway St
Mount Vernon, IL 62864-2202
Phone: (618) 242-4554
Fax: (618) 242-4653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1639019169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Drake — Office Manager · (618) 242-4554
NPI enumeratedApril 1, 2026
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address3505 Broadway St, Mount Vernon, IL 62864-2202

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