Organization Active NPI

Healthy Body...Healthy Life Chiropractic, Inc.

  • Chiropractor
  • Galesburg, IL
National Provider Identifier
1477887537
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007910 Issued in IL
Legal business name
HEALTHY BODY...HEALTHY LIFE CHIROPRACTIC, INC.
Practice address
311 E Main St Ste 417
Galesburg, IL 61401-4867
Phone
(309) 368-5141
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Dr. Patricia A Osborne-Kirkemo, D.C.NPI 1831202472
Title
President
Phone
(309) 368-5141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-007910 IL Primary

Addresses

Primary practice location

311 E Main St Ste 417
Galesburg, IL 61401-4867

Mailing address

311 E Main St Ste 417
Galesburg, IL 61401-4867
Phone (309) 368-5141

Other identifiers 3

IdentifierTypeStateIssuer
IL2707OtherMEDICARE PTAN
01921738OtherILBCBS
1831202472OtherNPI

National Provider Directory

National Provider Directory

Locations

3301 Resource Pkwy
Ste 3
DeKalb, IL 60115
Phone (630) 297-3617

311 E Main St
Ste 417
Galesburg, IL 61401
Phone (309) 368-5141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1477887537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MAIN ST STE 417",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614014867",
            "telephone_number": "309-368-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MAIN ST STE 417",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614014867",
            "telephone_number": "309-368-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY BODY...HEALTHY LIFE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "OSBORNE-KIRKEMO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-368-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL2707",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01921738",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831202472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.