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Organization
SOUTHERN ILLINOIS CHIROPRACTIC KINESIOLOGYPC
Active
Organization
SOUTHERN ILLINOIS CHIROPRACTIC KINESIOLOGYPC
Active
Other names
Osborne Family Chiropractic, Osborne Chiropractic PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY ALAN OSBORNE DC, DIBAK, DCBCN, DC (OWNER/PRESIDENT/CHIROPRACTOR)
(618) 622-9780
Entity
Organization
Contact information
Practice address
4965 STONE FALLS CENTER, SUITE 7, O FALLON, IL 62269-7803
(618) 622-9780
(618) 622-9782
Mailing address
4965 STONE FALLS CENTER, SUITE 7, O FALLON, IL 62269-7803
(618) 622-9780
(618) 622-9782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009255
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03227051
PROVIDER #
IL
01
—
462042
PROVIDER #
IL
Enumeration date
11/01/2006
Last updated
05/19/2023
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