Organization · Type 2 NPI

Southern Illinois Chiropractic Kinesiologypc

Chiropractor · O Fallon, IL

NPI number 1376620260 Active

Practice location

4965 Stone Falls Center, Suite 7
O Fallon, IL 62269-7803

Fax (618) 622-9782

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	038-009255 (IL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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NPI record

NPI: 1376620260
Entity type: Organization (Type 2)
Issued: Nov 1, 2006
Last updated: May 19, 2023
Status: Active

Other names

<unavail>
Osborne Chiropractic PC · doing business as
Osborne Family Chiropractic · doing business as
Osborne Family Chiropractic · doing business as

Authorized official

Dr. Corey Alan Osborne, DC, DIBAK, DCBCN, DC
Owner/president/chiropractor
(618) 622-9780

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376620260

Southern Illinois Chiropractic Kinesiologypc's National Provider Identifier is 1376620260, issued on Nov 1, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in O Fallon, IL. The record was last updated on May 19, 2023.