# CONKLING CHIROPRACTIC CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346465572
- **Authorized official:** DR. ROY B CONKLING III D.C. (OWNER)
- **Authorized official phone:** (618) 332-1212

## Contact information

- **Practice address:** 1407 CAMP JACKSON RD, CAHOKIA, IL 62206-2501
- **Practice address phone:** (618) 332-1212
- **Practice address fax:** (618) 332-1214
- **Mailing address:** 1407 CAMP JACKSON RD, CAHOKIA, IL 62206-2501
- **Mailing address phone:** (618) 332-1212
- **Mailing address fax:** (618) 332-1214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 04/14/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 8215155 | LICENSE NUMBER | IL |