Organization
MCCONNAUGHY CHIROPRACTIC CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWARD MCCONNAUGHY D.C. (PRESIDENT)
(618) 985-4344
Entity
Organization
Contact information
Practice address
1027 S DIVISION ST, CARTERVILLE, IL 62918-0394
(618) 985-4344
(618) 985-6469
Mailing address
PO BOX 394, CARTERVILLE, IL 62918-0394
(618) 985-4344
(618) 985-6469
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
038-004817
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038004817
—
IL
Enumeration date
12/22/2006
Last updated
08/05/2013
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