Organization
HOLISTIC CHIROPRACTIC & REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH F. LAHUE (ADMINISTRATOR)
(618) 624-9384
Entity
Organization
Contact information
Practice address
4965 STONE FALLS CTR, SUITE 7, O FALLON, IL 62269-7802
(618) 624-9384
(618) 624-9386
Mailing address
4965 STONE FALLS CTR, SUITE 7, O FALLON, IL 62269-7802
(618) 624-9384
(618) 624-9386
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
IL
111NN1001X
Nutrition Chiropractor
—
IL
111NR0400X
Rehabilitation Chiropractor
—
IL
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08232126
IL BCBS GROUP NUMBER
IL
01
—
690962
HEALTHLINK GROUP NUMBER
IL
Enumeration date
03/06/2007
Last updated
09/11/2025
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