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ACTIVE REHAB CHIROPRACTIC LLC
NPI 1073291811
Chiropractor in Glen Carbon, IL

Active since July 11, 2023
4225 S STATE ROUTE 159 STE 2, GLEN CARBON, IL 62034(618) 641-3111 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Active Rehab Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE REHAB CHIROPRACTIC LLC (NPI 1073291811) is a healthcare organization registered as a chiropractor in Glen Carbon, Illinois and active in the NPI registry since July 2023. The organization lists Marshall Gevers, Owner, as its authorized official.

NPPES Registry Identity

NPI1073291811
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE REHAB CHIROPRACTIC LLC
Location Address4225 S STATE ROUTE 159 STE 2Glen Carbon, IL 62034-3231
Mailing Address4225 S State Route 159 Ste 2Glen Carbon, IL 62034-3231 · (618) 641-3111
Phone(618) 641-3111
Organization SubpartNo
Authorized OfficialMarshall GeversOwner · (618) 520-8270
Enumeration DateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1073291811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4225 S STATE ROUTE 159 STE 2, Glen Carbon, IL 62034
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY HOUSTON RDN, LD
Dietitian, Registered
4225 S STATE ROUTE 159 STE 2
GLEN CARBON, IL 62034
Madison County (618) 368-5071
DR. MARSHALL GEVERS DC
Chiropractor
4225 S STATE ROUTE 159 STE 2
GLEN CARBON, IL 62034
Madison County (618) 520-8270
CONFIDENCE NUTRITION COUNSELING, LLC
Dietitian, Registered
4225 S STATE ROUTE 159 STE 2
GLEN CARBON, IL 62034
Madison County (618) 304-8378

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Rehab Chiropractic LLC's NPI number?

The NPI number for Active Rehab Chiropractic LLC is 1073291811. It was assigned to this organization in the NPPES registry on July 11, 2023.

Where is Active Rehab Chiropractic LLC located?

Active Rehab Chiropractic LLC is located at 4225 S State Route 159 Ste 2, Glen Carbon, IL 62034. The listed phone number is (618) 641-3111.

What is Active Rehab Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Active Rehab Chiropractic LLC was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.