Mt. Vernon Chiropractic Clinic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MT. VERNON CHIROPRACTIC CLINIC, PLLC

Practice address

3505 Broadway St
Mount Vernon, IL 62864-2202

Phone

(618) 242-4554

Fax

(618) 242-4653

NPI assigned

Apr 1, 2026

Organization subpart

No

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

Authorized official

Name

Tamara Lynn Drake, RN

Title

Office Manager

Phone

(618) 242-4554

Specialties & licenses 1

Addresses

Practitioners 1

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

• Bradley Ray Drake

  • Chiropractor
  • Mt Vernon, IL
  • NPI 1144330945
  NPD

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1639019169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642202",
            "telephone_number": "618-242-4554",
            "fax_number": "618-242-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642202",
            "telephone_number": "618-242-4554",
            "fax_number": "618-242-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. VERNON CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-242-4554",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Vernon Family Practice PC
• Mt Vernon Neurology, S.C.
• Mt Vernon Radiation Therapy Center
• Mt Vernon Spine and Disc Center, LLC
• Mt Vernon TWP HS Dist 201
• Mt. Vernon Eye Clinic, PLLC
• Mt. Vernon OB-GYN LLC
• Jason Mulholland, MS, ATC, CSCS
• Mulvaney Rehab Services LTD
• James M Mulvaney

• Chiropractor in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.