Ravenswood Health Center, P.C. in Chicago - Chiropractor
Ravenswood Health Center, P.C. - NPI 1114116522
Ravenswood Health Center, P.C. is a Chiropractor in Chicago, Illinois. Ravenswood Health Center, P.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ravenswood Health Center, P.C. is 1114116522. The last update date is 2014-12-30.
Ravenswood Health Center, P.C.'s current location address is 4256 N. Ravenswood Ave,, Chicago, Illinois. You can contact this provider via phone number 7733272225 and fax number 7733277554. The mailing address for Ravenswood Health Center, P.C. is 4256 N. Ravenswood Ave,, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ravenswood Health Center, P.C. |
|---|---|
| Address | 4256 N. Ravenswood Ave,, Chicago, Illinois |
| Phone Number | 7733272225 |
| Fax Number | 7733277554 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Fennema G. Jason |
| Credentials | D.C. |
| Telephone Number | 7733272225 |
NPI Number Detail
| NPI Number | 1114116522 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2014-12-30 |
Provider Mailing Address Detail
| Address | 4256 N. Ravenswood Ave, |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60613 |
| Phone Number | 7733272225 |
| Fax Number | 7733277554 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-008864 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique identifier code issued to Ravenswood Health Center, P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Ravenswood Health Center, P.C. has been assigned the NPI (National Provider Identifier) 1114116522. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Ravenswood Health Center, P.C. is geographically located?
The Ravenswood Health Center, P.C. is physically situated at the following location: 4256 N. Ravenswood Ave,, Chicago, IL, 60613.
What is Ravenswood Health Center, P.C.'s area of expertise and its corresponding taxonomy classification?
The Ravenswood Health Center, P.C.'s field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Ravenswood Health Center, P.C. receive its 1114116522 assignment from the Centers for Medicare & Medicaid Services?
The Ravenswood Health Center, P.C. was assigned its 1114116522 by the Centers for Medicare & Medicaid Services on 2007-10-22.
As of what date were the details pertaining to Ravenswood Health Center, P.C. last refreshed?
The information related to the Ravenswood Health Center, P.C., including its address, specialty, and other relevant details, was last updated on 2014-12-30.
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