McConnaughy Chiropractic Clinic P.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

038-004817 Issued in IL

Legal business name

MCCONNAUGHY CHIROPRACTIC CLINIC P.C.

Practice address

1027 S Division St
Carterville, IL 62918-0394

Phone

(618) 985-4344

Fax

(618) 985-6469

NPI assigned

Dec 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Edward McConnaughy, D.C.

Title

President

Phone

(618) 985-4344

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1184789018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180394",
            "telephone_number": "618-985-4344",
            "fax_number": "618-985-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180394",
            "telephone_number": "618-985-4344",
            "fax_number": "618-985-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCONNAUGHY CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "MCCONNAUGHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-985-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038-004817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038004817",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Markel, LCPC
• Michael E May, PH.D., BCBA
• Victoria Mayo
• Mallory Mazanek
• Julia Anne McCamish, MSW, QMHP
• John Edward McConnaughy, D.C.
• Evelyn McGee, MS,LCPC
• Adam Meece, AA
• Breanne Nicole Mekelburg, LPN
• Gessie Miller, BA

• Sports Physician Chiropractor in Carterville, IL
• Providers in Carterville, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.