Active NPI
Kylie Rudsinski, DC
- Chiropractor
- Forsyth, IL
National Provider Identifier
1013788389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038014192
- Practice address
- 1275 Clement Ave
Forsyth, IL 62535-9806 - Phone
- (217) 875-7151
- NPI assigned
- Jan 15, 2024
- Last updated
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038014192 | IL | Primary |
Addresses
Primary practice location
1275 Clement Ave
Forsyth, IL 62535-9806
Mailing address
1275 Clement Ave
Forsyth, IL 62535-9806
Phone (217) 875-7151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038014192 | IL | MD | Chiropractor |
| 5718 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back Institute, LTD | Chiropractor | Current | Accepting new patients |
Locations
1275 Clement Ave
Forsyth, IL 62535
Phone (217) 875-7151
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1013788389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 CLEMENT AVE",
"city": "FORSYTH",
"state": "IL",
"postal_code": "625359806",
"telephone_number": "217-875-7151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 CLEMENT AVE",
"city": "FORSYTH",
"state": "IL",
"postal_code": "625359806",
"telephone_number": "217-875-7151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDSINSKI",
"first_name": "KYLIE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038014192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forsyth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.