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 is a Family Medicine Physician 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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