| Ravenswood Chiropractic & Wellness Center | |
|
5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | |
| (773) 878-7330 | |
| (773) 878-2338 |
| Full Name | Ravenswood Chiropractic & Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5215 N Ravenswood Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467506675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | Todd Christian Renn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790839926 PECOS PAC ID: 1355312000 Enrollment ID: I20040804001777 |
| Provider Name | Virginia Vivit |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750259180 PECOS PAC ID: 2163913468 Enrollment ID: I20251114001450 |
| Mailing Address | Practice Location Address |
|---|---|
| Ravenswood Chiropractic & Wellness Center 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 Ph: (773) 878-7330 | Ravenswood Chiropractic & Wellness Center 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 Ph: (773) 878-7330 |
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