OrganizationActive
Active Rehab Chiropractic LLC
NPI 1073291811 · Chiropractor · Glen Carbon, IL
Provider details
- NPI number
- 1073291811
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Authorized official
- Marshall Gevers, Owner
Practice location
4225 S State Route 159 Ste 2
Glen Carbon, IL 62034-3231
Phone: (618) 641-3111
Mailing address
4225 S State Route 159 Ste 2
Glen Carbon, IL 62034-3231
Registry dates
- Enumerated
- 2023-07-11
- Last updated
- 2023-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.