Skip to content

Southern Illinois Chiropractic Kinesiologypc

NPI 1376620260ActiveOrganization· Chiropractor· O Fallon, IL

Chiropractor in O Fallon, Illinois, registered in NPPES in November 2006. The authorized official on file is Corey Alan Osborne, DC, DIBAK, DCBCN, DC, Owner/President/Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1376620260
StatusActive
Entity typeOrganization
NPI issuedNov 1, 2006
Last updated in NPPESMay 19, 2023
Certified by providerMay 19, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X038-009255IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IL)

Medicare sources and data years

Other Chiropractor providers in O Fallon

All Chiropractor providers in Illinois →