| Ravenswood Health And Wellness Center, S.c. | |
|
4256 N Ravenswood Ave, Unit 101, Chicago, IL 60613-1110 | |
| (773) 327-2225 | |
| (773) 327-7554 |
| Full Name | Ravenswood Health And Wellness Center, S.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 4256 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 |
|---|---|---|---|
| 1093126435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 1386657690 (Illinois) | Primary |
| Provider Name | Jason G Fennema |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386657690 PECOS PAC ID: 6901094200 Enrollment ID: I20110121001053 |
| Mailing Address | Practice Location Address |
|---|---|
| Ravenswood Health And Wellness Center, S.c. 4256 N Ravenswood Ave, Unit 101, Chicago, IL 60613-1110 Ph: (773) 327-2225 | Ravenswood Health And Wellness Center, S.c. 4256 N Ravenswood Ave, Unit 101, Chicago, IL 60613-1110 Ph: (773) 327-2225 |
The Chicago Body Works, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 3505 N Ashland Ave, Chicago, IL 60657 Phone: 773-248-4229 | |
Dr. Mahmoud S Lotfi, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3139 W 111th St, Chicago, IL 60655 Phone: 312-944-4653 | |
Renew Chiropractic Health And Wellness Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 935 N Honore St Apt 2r, Chicago, IL 60622 Phone: 563-580-5171 | |
Dr. Jee Hoon Kim, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2317 W Chicago Ave, 2 Fl., Chicago, IL 60622 Phone: 773-252-9740 Fax: 773-252-9746 | |
Dr. Dylan P Drynan, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1600 S Indiana Ave, Unit B, Chicago, IL 60616 Phone: 312-922-9868 Fax: 312-922-9869 | |
David Ross Anderson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2105 W Division St, Chicago, IL 60622 Phone: 773-342-3221 Fax: 773-342-3836 |