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KHOURY CHIROPRACTIC INC
NPI 1942467105
Chiropractor in Peoria, IL

Active since May 16, 2008
2015 W GLEN AVE, SUITE 220, PEORIA, IL 61614(309) 693-1212(309) 693-2147 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Khoury Chiropractic Inc NPPES

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

KHOURY CHIROPRACTIC INC (NPI 1942467105) is a healthcare organization registered as a chiropractor in Peoria, Illinois and active in the NPI registry since May 2008. The organization lists Tracie A Khoury, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1942467105
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKHOURY CHIROPRACTIC INC
Location Address2015 W GLEN AVE, SUITE 220Peoria, IL 61614-4690
Mailing Address2015 W Glen Ave, Suite 220Peoria, IL 61614-4690 · (309) 693-1212 · Fax (309) 693-2147
Phone(309) 693-1212
Fax(309) 693-2147
Organization SubpartNo
Authorized OfficialTracie A KhouryChiropractor · (309) 693-1212
Enumeration DateMay 16, 2008
Last NPPES UpdateJune 21, 2018
✔ NPI 1942467105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038009705
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.
2015 W GLEN AVE, Peoria, IL 61614
Open in Google Maps ↗

Other Identifiers 1

Medicaid038009705IL

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Khoury Chiropractic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tracie Khoury, DC
Chiropractic
NPI 1588639835
901 W GLEN AVE SUITE A
Peoria, IL 61614
(309) 693-1212
✔ Accepts Medicare0.9 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 Khoury Chiropractic Inc's NPI number?

The NPI number for Khoury Chiropractic Inc is 1942467105. It was assigned to this organization in the NPPES registry on May 16, 2008.

Where is Khoury Chiropractic Inc located?

Khoury Chiropractic Inc is located at 2015 W Glen Ave Suite 220, Peoria, IL 61614. The listed phone number is (309) 693-1212.

What is Khoury Chiropractic Inc's specialty?

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

Is Khoury Chiropractic Inc enrolled in Medicare?

Yes. Khoury Chiropractic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Khoury Chiropractic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Khoury Chiropractic Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Khoury Chiropractic Inc was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.