OSBORNE FAMILY CHIROPRACTIC
NPI 1376620260
Chiropractor in O Fallon, IL

Q: What is Southern Illinois Chiropractic Kinesiologypc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since November 01, 2006

4965 STONE FALLS CENTER, SUITE 7, O FALLON, IL 62269(618) 622-9780(618) 622-9782 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Osborne Family Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSBORNE FAMILY CHIROPRACTIC (NPI 1376620260) is a healthcare organization registered as a chiropractor in O Fallon, Illinois and active in the NPI registry since November 2006. The organization lists Corey Alan Osborne, Owner/president/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1376620260

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSOUTHERN ILLINOIS CHIROPRACTIC KINESIOLOGYPC

Location Address4965 STONE FALLS CENTER, SUITE 7O Fallon, IL 62269-7803

Mailing Address4965 Stone Falls Center, Suite 7O Fallon, IL 62269-7803 · (618) 622-9780 · Fax (618) 622-9782

Phone(618) 622-9780

Fax(618) 622-9782

Organization SubpartNo

Authorized OfficialCorey Alan OsborneOwner/president/chiropractor · (618) 622-9780

Enumeration DateNovember 1, 2006

Last NPPES UpdateMay 19, 2023

NPPES CertifiedMay 19, 2023

✔ NPI 1376620260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038-009255

Definition

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.

4965 STONE FALLS CENTER, O Fallon, IL 62269

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Other Names 2

Doing Business AsOsborne Family Chiropractic

Doing Business AsOsborne Chiropractic Pc

Other Identifiers 2

Other03227051IL · Provider #

Other462042IL · Provider #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Osborne Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Osborne Family Chiropractic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nolan Wright, DC

Chiropractic

NPI 1003625567

4965 STONE FALLS CTR STE 7
O Fallon, IL 62269

(618) 622-9780

✔ Accepts MedicareSame address

Corey Osborne, D.C.

Chiropractic

NPI 1124040688

734 CAMBRIDGE BLVD STE 100
O Fallon, IL 62269

(618) 622-9780

✔ Accepts Medicare2.4 mi

Carmen Jacoby, D.C

Chiropractic

NPI 1154485316

100 OLYVIA DR APT 3
Saint Jacob, IL 62281

(618) 927-6810

✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Illinois Chiropractic Kinesiologypc's NPI number?

The NPI number for Southern Illinois Chiropractic Kinesiologypc is 1376620260. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Osborne Family Chiropractic and Osborne Chiropractic PC.

Where is Southern Illinois Chiropractic Kinesiologypc located?

Southern Illinois Chiropractic Kinesiologypc is located at 4965 Stone Falls Center Suite 7, O Fallon, IL 62269. The listed phone number is (618) 622-9780.

What is Southern Illinois Chiropractic Kinesiologypc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Southern Illinois Chiropractic Kinesiologypc enrolled in Medicare?

Yes. Southern Illinois Chiropractic Kinesiologypc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Illinois Chiropractic Kinesiologypc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Southern Illinois Chiropractic Kinesiologypc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Illinois Chiropractic Kinesiologypc was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.