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

Active Rehab Chiropractic LLC

Organization Chiropractor · NPI 1073291811

Active Rehab Chiropractic LLC is a Chiropractor in Glen Carbon, Illinois. Registered with an NPI since 2023.

In the registry since
2023
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

4225 S State Route 159 Ste 2
Glen Carbon, IL 62034-3231
Phone: (618) 641-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1073291811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marshall Gevers — Owner · (618) 520-8270
NPI enumeratedJuly 11, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address4225 S State Route 159 Ste 2, Glen Carbon, IL 62034-3231

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