Physician Compare National (NPI:1871681106)

HEALTHCARE PROVIDER: TODD CHRISTOPHER HACKNEY D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1871681106
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799869434
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080220000130
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HACKNEY
	Individual professional last name
Provider First Name	TODD
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOGAN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1337 PARK PLAZA DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	O FALLON
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	622691777
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6186327744
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y