Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optimal Health Medicine LLC

Organization Family Medicine Physician · NPI 1316299332

Optimal Health Medicine LLC provides Family Medicine Physician services in Godfrey, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1368 Dadrian Professional Park
Godfrey, IL 62035-1685
Phone: (618) 433-9701
Fax: (618) 433-9706
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036120316 (IL)

Record details

NPI number1316299332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Wagnon — President · (618) 433-9701
NPI enumeratedOctober 15, 2012
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address1368 Dadrian Professional Park, Godfrey, IL 62035-1685

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