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OPTIMUM WELLNESS AND REHABILITATION PC
NPI 1861540239
Chiropractor in Glen Carbon, IL

Active since January 08, 2007
3407 S STATE ROUTE 157, GLEN CARBON, IL 62034(618) 288-3610 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Optimum Wellness And Rehabilitation Pc NPPES

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

OPTIMUM WELLNESS AND REHABILITATION PC (NPI 1861540239) is a healthcare organization registered as a chiropractor in Glen Carbon, Illinois and active in the NPI registry since January 2007. The organization lists Richard C Coy, President, as its authorized official.

NPPES Registry Identity

NPI1861540239
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameOPTIMUM WELLNESS AND REHABILITATION PC
Location Address3407 S STATE ROUTE 157Glen Carbon, IL 62034-1042
Mailing Address3407 S State Route 157Glen Carbon, IL 62034-1042 · (618) 288-3610
Phone(618) 288-3610
Organization SubpartNo
Authorized OfficialRichard C CoyPresident · (618) 288-3610
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJune 21, 2018
✔ NPI 1861540239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.005639
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License 070-006607 (IL)
3407 S STATE ROUTE 157, Glen Carbon, IL 62034
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. RICHARD C COY DC
Chiropractor
3407 S STATE ROUTE 157, STE 1
GLEN CARBON, IL 62034
Madison County (618) 288-3610
MILDRED ZEY LMT
Massage Therapist
3407 S STATE ROUTE 157
GLEN CARBON, IL 62034
Madison County (618) 288-3610
DR. MARY MIOUX-BERRY, LLC
Physical Medicine & Rehabilitation
3407 S STATE ROUTE 157, SUITE 3
GLEN CARBON, IL 62034
Madison County (618) 288-3610
TERRY J COY
Physical Therapist
3407 S STATE ROUTE 157, SUITE 2
GLEN CARBON, IL 62034
Madison County (618) 288-5229
IAN DUIRE LMT
Massage Therapist
3407 S STATE ROUTE 157
GLEN CARBON, IL 62034
Madison County (618) 288-3610

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 Optimum Wellness And Rehabilitation PC's NPI number?

The NPI number for Optimum Wellness And Rehabilitation PC is 1861540239. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Optimum Wellness And Rehabilitation PC located?

Optimum Wellness And Rehabilitation PC is located at 3407 S State Route 157, Glen Carbon, IL 62034. The listed phone number is (618) 288-3610.

What is Optimum Wellness And Rehabilitation PC'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 Optimum Wellness And Rehabilitation PC was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.