Active Rehab Chiropractic LLC

NPI #1073291811 in Glen Carbon, Illinois

Provider Information

NPI Number: 1073291811
Entity Type: Organization
Organization Name: Active Rehab Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 11, 2023
Last Updated: Jul 11, 2023

Practice Location

Address: 4225 S STATE ROUTE 159 STE 2
City: Glen Carbon
State: Illinois
ZIP Code: 62034-3231
Phone: (618) 641-3111

Authorized Official

Name: MARSHALL GEVERS, DC
Title: OWNER
Phone: (618) 520-8270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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