Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ravenswood Health and Wellness Center, SC

Organization Rehabilitation Chiropractor · NPI 1093126435

Ravenswood Health and Wellness Center, SC provides Rehabilitation Chiropractor services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014

Practice location Address checks out

4256 N Ravenswood Ave Unit 101
Chicago, IL 60613-1110 Not confirmed with CMS for 11 years — call before visiting
Phone: (773) 327-2225
Fax: (773) 327-7554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence 1386657690 (IL)

Record details

NPI number1093126435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Fennema — President · (773) 456-5313
NPI enumeratedMay 19, 2014
Last updated in NPPESDecember 30, 2014
Mailing address4256 N Ravenswood Ave, Unit 101, Chicago, IL 60613-1110

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