Provider Demographics
NPI:1447612510
Name:MCNELLY, ALANNA LYNN (DC)
Entity Type:Individual
Prefix:MRS
First Name:ALANNA
Middle Name:LYNN
Last Name:MCNELLY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17107 MEADOW BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:IL
Mailing Address - Zip Code:62037
Mailing Address - Country:US
Mailing Address - Phone:314-398-4863
Mailing Address - Fax:
Practice Address - Street 1:219 PIASA ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002
Practice Address - Country:US
Practice Address - Phone:314-398-4863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor