John Edward McConnaughy, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

038-004817 Issued in IL

Practice address

1027 S. Division St
Carterville, IL 62918-0394

Phone

(618) 985-4344

Fax

(618) 985-6469

NPI assigned

Feb 21, 2006

Last updated

Mar 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McConnaughy Chiropractic Clinic P.C.

  • Sports Physician Chiropractor
  • Carterville, IL
  • NPI 1184789018
  Authorized official Same address or phone

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1811962285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181540",
            "telephone_number": "618-985-4344",
            "fax_number": "618-985-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S. DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180394",
            "telephone_number": "618-985-4344",
            "fax_number": "618-985-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNAUGHY",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038-004817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038004817",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E May, PH.D., BCBA
• Victoria Mayo
• Mallory Mazanek
• Julia Anne McCamish, MSW, QMHP
• McConnaughy Chiropractic Clinic P.C.
• Evelyn McGee, MS,LCPC
• Adam Meece, AA
• Breanne Nicole Mekelburg, LPN
• Gessie Miller, BA
• Sharrie Lynn Miller, MA CCC-SLP

• Sports Physician Chiropractor in Carterville, IL
• Providers in Carterville, 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 Mar 9, 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.