Provider Demographics
NPI:1407741986
Name:MCMAHAN, ALEXANDER RONALD (DC)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:RONALD
Last Name:MCMAHAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:HOOPESTON
Mailing Address - State:IL
Mailing Address - Zip Code:60942-1903
Mailing Address - Country:US
Mailing Address - Phone:217-283-5638
Mailing Address - Fax:217-283-6482
Practice Address - Street 1:830 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:HOOPESTON
Practice Address - State:IL
Practice Address - Zip Code:60942-1903
Practice Address - Country:US
Practice Address - Phone:217-283-5638
Practice Address - Fax:217-283-6482
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.014304111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor