Murphysboro Chiropractic Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MURPHYSBORO CHIROPRACTIC CLINIC, PC

Practice address

1200 Locust St
Murphysboro, IL 62966-2121

Phone

(618) 684-3344

Fax

(618) 684-2216

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jason Ryan Whitacre, D.C.NPI 1417975533

Title

Vice President

Phone

(618) 684-3344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Jason Ryan Whitacre, D.C.

  • Chiropractor
  • Murphysboro, IL
  • NPI 1417975533
  Medicare reassignment NPD Authorized official
• Cheryl A Herron, D.C.

  • Chiropractor
  • West Frankfort, IL
  • NPI 1831299601
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548297872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LOCUST ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662121",
            "telephone_number": "618-684-3344",
            "fax_number": "618-684-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LOCUST ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662121",
            "telephone_number": "618-684-3344",
            "fax_number": "618-684-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHYSBORO CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITACRE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "618-684-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Treece, MD, SC
• Charlene Mileur
• Ruth A. Miner, R.N., C.N.P., BS
• Victoria Moore
• Kelsey R Morton, PHARM.D.
• Murphysboro Cu SCH Dist 186
• Murphysboro Internal Medicine Clinic
• Murphysoboro Counseling Center, LLC
• Paula Monique Musumhi
• Hoai P Nguyen, DMD

• Chiropractor in Murphysboro, IL
• Providers in Murphysboro, IL by specialty
• Chiropractor 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.