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

Holistic Chiropractic & Rehabilitation Center, LLC

Organization Chiropractor · NPI 1114057312

Holistic Chiropractic & Rehabilitation Center, LLC is a Chiropractor in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
13
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

4965 Stone Falls Ctr Ste 7
O Fallon, IL 62269-7802
Phone: (618) 624-9384
Fax: (618) 624-9386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Electrophysiology Physical Therapist (primary) Taxonomy 2251E1300X (IL)
Chiropractor Taxonomy 111N00000X (IL)
Chiropractor Taxonomy 111N00000X (IL)
Chiropractor Taxonomy 111N00000X (IL)
Chiropractor Taxonomy 111N00000X (IL)
Nutrition Chiropractor Taxonomy 111NN1001X (IL)
Nutrition Chiropractor Taxonomy 111NN1001X (IL)
Nutrition Chiropractor Taxonomy 111NN1001X (IL)
Nutrition Chiropractor Taxonomy 111NN1001X (IL)
Rehabilitation Chiropractor Taxonomy 111NR0400X (IL)
Rehabilitation Chiropractor Taxonomy 111NR0400X (IL)
Rehabilitation Chiropractor Taxonomy 111NR0400X (IL)
Rehabilitation Chiropractor Taxonomy 111NR0400X (IL)

Record details

NPI number1114057312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Lahue — Administrator · (618) 624-9384
NPI enumeratedMarch 6, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address4965 Stone Falls Ctr, Suite 7, O Fallon, IL 62269-7802

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