Organization
HEALTHY BODY...HEALTHY LIFE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA A OSBORNE-KIRKEMO D.C. (PRESIDENT)
(309) 368-5141
Entity
Organization
Contact information
Practice address
311 E MAIN ST STE 417, GALESBURG, IL 61401-4867
(309) 368-5141
Mailing address
311 E MAIN ST STE 417, GALESBURG, IL 61401-4867
(309) 368-5141
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007910
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01921738
BCBS
IL
01
—
1831202472
NPI
—
01
—
IL2707
MEDICARE PTAN
—
Enumeration date
09/22/2009
Last updated
05/01/2014
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