Emily J Odom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012921 Issued in IL

Practice address

110 W Saint Louis St
Lebanon, IL 62254-1559

Phone

(618) 537-4407

NPI assigned

Jan 28, 2016

Last updated

Jul 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lebanon Healthcare LLCGroup PAC ID 3476094665, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lebanon Healthcare LLC

  dba Alvarado Healthcare

  • Chiropractor
  • Lebanon, IL
  • NPI 1427892090
  Medicare reassignment Care Compare group NPD
• Chiropractic Family Wellness Center LLC

  dba Chiropractic Wellness Center

  • Chiropractor
  • Fenton, MO
  • NPI 1487205530
  Medicare reassignment
• Integrative Performance Medical Group, PLLC

  • Specialist
  • Edwardsville, IL
  • NPI 1699232637

  Chiropractor

  NPD (past)
• Lebanon Chiropractic Clinic PC

  • Chiropractor
  • Lebanon, IL
  • NPI 1467500850
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1275990780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SAINT LOUIS ST",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541559",
            "telephone_number": "618-972-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SAINT LOUIS ST",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541559",
            "telephone_number": "618-537-4407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1747 Smizer Station Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630262784",
            "country_code": "US",
            "telephone_number": "636-825-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "EMILY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016000621",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Meyer, M.S., CCC-SLP
• Lucas Ray Moake
• Ashlei L Moses
• Christy Nichole Niles, LPC
• Christian James Novy, MS, LAT, ATC
• Pennie Gunn Pavlisin, RN
• Erin Elizabeth Pennington, LPN
• Prescriptions Plus
• Denise Pyles
• Lance L Ringhausen, ATC

• Chiropractor in Lebanon, IL
• Providers in Lebanon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.