Tri-State Clinic of Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

060009274 Issued in IL

Legal business name

TRI-STATE CLINIC OF CHIROPRACTIC, PC

Practice address

229 W 2ND St
Mount Carmel, IL 62863-1608

Phone

(618) 262-2222

Fax

(618) 262-2224

NPI assigned

May 11, 2006

Last updated

Jul 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tara Ellen Horrall, D.C.

Title

President

Phone

(618) 262-2222

Specialties & licenses 1

Addresses

Other names 1

• Kennard Clinic of Chiropractic, PC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aileen Delacruz, DC

  • Chiropractor
  • Mount Carmel, IL
  • NPI 1265906770
  NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1699725424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W 2ND ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631608",
            "telephone_number": "618-262-2222",
            "fax_number": "618-262-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W 2ND ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631608",
            "telephone_number": "618-262-2222",
            "fax_number": "618-262-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE CLINIC OF CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "HORRALL",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-262-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "060009274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennard Clinic of Chiropractic, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allison Stephens
• Rachel A Stephens, ATC, LAT
• Sydney Jade Straw, MSW
• Timothy M Brown, OD, PC
• Tri State Precision Clinic of Chiropractic Inc (Tri-state Clinic of Chiropractic)
• Vna Homecare, Inc. (TIP Hospice)
• Vna Homecare, Inc. (VNA-TIP HomeCare)
• Wabash Area Vocational Enterprises, Inc.
• Wabash County Health Department
• Wabash County Health Department

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.