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

Optimum Wellness and Rehabilitation PC

Organization Chiropractor · NPI 1861540239

Optimum Wellness and Rehabilitation PC provides Chiropractor services in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3407 S State Route 157
Glen Carbon, IL 62034-1042
Phone: (618) 288-3610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038.005639 (IL)
Physical Therapist Taxonomy 225100000X · Licence 070-006607 (IL)

Record details

NPI number1861540239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Coy — President · (618) 288-3610
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJune 21, 2018
Mailing address3407 S State Route 157, Glen Carbon, IL 62034-1042

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