Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Regency Park Medical Group LLC

Organization Chiropractor · NPI 1063034783

Regency Park Medical Group LLC is a Chiropractor in O Fallon, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

124 Regency Park Ste 7
O Fallon, IL 62269-1994
Phone: (480) 926-7800
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Chiropractor Taxonomy 111N00000X
Internal Medicine Physician Taxonomy 207R00000X
Physical Therapist Taxonomy 225100000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1063034783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellie Descalzo — Credentialing Officer · (480) 926-7800
NPI enumeratedMay 15, 2020
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing address2250 E Germann Rd Ste 8, Chandler, AZ 85286-1575

Other providers in O Fallon