Southern Illinois Chiropractic Kinesiologypc

NPI #1376620260 in O Fallon, Illinois

Provider Information

NPI Number: 1376620260
Entity Type: Organization
Organization Name: Southern Illinois Chiropractic Kinesiologypc
Primary Specialty: Chiropractor
Enumeration Date: Nov 1, 2006
Last Updated: May 19, 2023

Practice Location

Address: 4965 STONE FALLS CENTER
Address 2: SUITE 7
City: O Fallon
State: Illinois
ZIP Code: 62269-7803
Phone: (618) 622-9780

Authorized Official

Name: DR. COREY ALAN OSBORNE, DC, DIBAK, DCBCN, DC
Title: OWNER/PRESIDENT/CHIROPRACTOR
Phone: (618) 622-9780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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