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 is a Chiropractor 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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