Mt. Carmel Chiropractic Clinic, S.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

042-617767 Issued in IL

Legal business name

MT. CARMEL CHIROPRACTIC CLINIC, S.C.

Practice address

616 N Market St
Mount Carmel, IL 62863-1459

Phone

(618) 262-2225

Fax

(618) 262-2880

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Virgil Lee Potts, D.C.

Title

President

Phone

(618) 262-2225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie A Rye, LMT

  • Massage Therapist
  • Mount Carmel, IL
  • NPI 1225447170
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1295790830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N MARKET ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631459",
            "telephone_number": "618-262-2225",
            "fax_number": "618-262-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N MARKET ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631459",
            "telephone_number": "618-262-2225",
            "fax_number": "618-262-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. CARMEL CHIROPRACTIC CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-262-2225",
        "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": "042-617767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Miller
• David Ray Miller, DDS
• Norman A. Miller, M. S. LCPC.
• Rita Miller, RN
• Mt Carmel Eyecare
• Philip Murphy
• Nicole L Myers, BSW
• Narendra H Anadkat M D P C
• Kara Newman, PA-C
• Garrett Kungho Ni, MD

• Sports Physician Chiropractor in Mount Carmel, IL
• Providers in Mount Carmel, 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 1, 2014; 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.