Conkling Chiropractic Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CONKLING CHIROPRACTIC CLINIC

Practice address

1407 Camp Jackson Rd
Cahokia, IL 62206-2501

Phone

(618) 332-1212

Fax

(618) 332-1214

NPI assigned

Apr 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roy B Conkling III, D.C.

Title

Owner

Phone

(618) 332-1212

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346465572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 CAMP JACKSON RD",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062501",
            "telephone_number": "618-332-1212",
            "fax_number": "618-332-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 CAMP JACKSON RD",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062501",
            "telephone_number": "618-332-1212",
            "fax_number": "618-332-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONKLING CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONKLING III",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-332-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "8215155",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia Campbell, CCC-SLP
• Cep America - Illinois SNF, LLP
• Alaina Chadbourne
• Quennetta Chambers
• Allison Marie Clayton, SLP
• Steven G Connors, DC
• David J Cruse Jr., PHARM.D.
• Ginger Darty, FNP-BC
• Department of Veterans Affairs St Louis Vamc
• Devine Joy Counseling PLLC

• Medical Specialty Clinic/Center in Cahokia, IL
• Providers in Cahokia, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.