# OPTIMUM REHABILITATION AND CHIROPRACTIC, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629096417
- **Authorized official:** DR. JAMES DRAKE D.C. (PRESIDENT)
- **Authorized official phone:** (815) 580-8280

## Contact information

- **Practice address:** 1860 S BELL SCHOOL RD, CHERRY VALLEY, IL 61016-9372
- **Practice address phone:** (815) 580-8270
- **Practice address fax:** (815) 580-8278
- **Mailing address:** 1860 S BELL SCHOOL RD, CHERRY VALLEY, IL 61016-9372
- **Mailing address phone:** (815) 580-8270
- **Mailing address fax:** (815) 580-8278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 38-010047 | IL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036056126 | IL | Yes |
| 225100000X | Physical Therapist | 070.011203 | IL | — |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 06/27/2012