Corey Alan Osborne, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

734 Cambridge Blvd
Ste 100
O Fallon, IL 62269-1964

Phone

(618) 622-9780

Fax

(618) 622-9782

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Illinois Chiropractic KinesiologypcGroup PAC ID 7214978113, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Illinois Chiropractic Kinesiologypc

  • Chiropractor
  • O Fallon, IL
  • NPI 1376620260
  Medicare reassignment Care Compare group NPD Authorized official
• Lander Family Chiropractic LLC

  • Chiropractor
  • Coal City, IL
  • NPI 1609179456
  NPD (past)
• Lardi Chiropractic LTD

  • Chiropractor
  • Coal City, IL
  • NPI 1174646483
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1124040688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 CAMBRIDGE BLVD",
            "address_2": "STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691964",
            "telephone_number": "618-622-9780",
            "fax_number": "618-622-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 CAMBRIDGE BLVD",
            "address_2": "STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691964",
            "telephone_number": "618-622-9780",
            "fax_number": "618-622-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "COREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "03227051",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Oge', DMD
• Nona Desea Onderdonk, RBT
• Oneopto Il 2 PLLC
• Umer Farooq Orakzai, M.D.
• Oral Surgeons of Southern Illinois
• Jayme P Osterhout, OTR/L
• Rachel Ottensmeier
• Pacem Wellness, LLC
• Victoria Catherine Page
• Amanda Marie Pagel, M.S. CFY-SLP

• Chiropractor in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.