| Southern Illinois Chiropractic Kinesiologypc | |
|
4965 Stone Falls Center, Suite 7, O Fallon, IL 62269-7803 | |
| (618) 622-9780 | |
| (618) 622-9782 |
| Full Name | Southern Illinois Chiropractic Kinesiologypc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4965 Stone Falls Center, O Fallon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376620260 | NPI | - | NPPES |
| 03227051 | Other | IL | PROVIDER # |
| 462042 | Other | IL | PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038-009255 (Illinois) | Primary |
| Provider Name | Corey A Osborne |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124040688 PECOS PAC ID: 6204877103 Enrollment ID: I20050523000178 |
| Provider Name | Carmen Jacoby |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154485316 PECOS PAC ID: 1658537071 Enrollment ID: I20120730000198 |
| Provider Name | Emily Meyer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710633466 PECOS PAC ID: 7416342092 Enrollment ID: I20220317000884 |
| Provider Name | Nolan James Wright |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003625567 PECOS PAC ID: 2961930029 Enrollment ID: I20250116003628 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Chiropractic Kinesiologypc 4965 Stone Falls Center, Suite 7, O Fallon, IL 62269-7803 Ph: (618) 622-9780 | Southern Illinois Chiropractic Kinesiologypc 4965 Stone Falls Center, Suite 7, O Fallon, IL 62269-7803 Ph: (618) 622-9780 |
Keim Family Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 804 W Highway 50 Ste 210, O Fallon, IL 62269 Phone: 618-444-3234 | |
Dr. Weston Allen Holzinger, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 922 Talon Dr, Suite B, O Fallon, IL 62269 Phone: 618-622-1200 | |
Dr. Nolan James Wright, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 4965 Stone Falls Ctr Ste 7, O Fallon, IL 62269 Phone: 618-622-9780 | |
Regency Park Medical Group Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 124 Regency Park Ste 7, O Fallon, IL 62269 Phone: 480-926-7800 | |
Kyle K Parrilla, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 916 Talon Dr Ste 102, O Fallon, IL 62269 Phone: 618-628-8211 Fax: 618-628-0883 | |
Solwis Health Centers Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 705 W Highway 50, O Fallon, IL 62269 Phone: 865-235-2097 | |
Holistic Chiropractic & Rehabilitation Center, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4965 Stone Falls Ctr, Suite 7, O Fallon, IL 62269 Phone: 618-624-9384 Fax: 618-624-9386 |