Organization
ACTIVE REHAB CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL GEVERS DC (OWNER)
(618) 520-8270
Entity
Organization
Contact information
Practice address
4225 S STATE ROUTE 159 STE 2, GLEN CARBON, IL 62034-3231
(618) 641-3111
Mailing address
4225 S STATE ROUTE 159 STE 2, GLEN CARBON, IL 62034-3231
(618) 641-3111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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