Organization
OPTIMUM REHABILITATION AND CHIROPRACTIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DRAKE D.C. (PRESIDENT)
(815) 580-8280
Entity
Organization
Contact information
Practice address
1860 S BELL SCHOOL RD, CHERRY VALLEY, IL 61016-9372
(815) 580-8270
(815) 580-8278
Mailing address
1860 S BELL SCHOOL RD, CHERRY VALLEY, IL 61016-9372
(815) 580-8270
(815) 580-8278
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38-010047
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036056126
IL
225100000X
Physical Therapist
070.011203
IL
Other
Enumeration date
07/18/2006
Last updated
06/27/2012
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