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Organization
MT. VERNON CHIROPRACTIC CLINIC, PLLC
Active
Organization
MT. VERNON CHIROPRACTIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA LYNN DRAKE RN (OFFICE MANAGER)
(618) 242-4554
Entity
Organization
Contact information
Practice address
3505 BROADWAY ST, MOUNT VERNON, IL 62864-2202
(618) 242-4554
(618) 242-4653
Mailing address
3505 BROADWAY ST, MOUNT VERNON, IL 62864-2202
(618) 242-4554
(618) 242-4653
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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