Organization · Type 2 NPI
Revive Chiropractic
Chiropractor · Chicago, IL
NPI number
1629134804
Active
Practice location
6615 W Irving Park Rd, Ste. #301
Chicago, IL 60634-2410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038-009590 (IN) |
Chiropractor: 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 interrelationship with other body systems.
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About NPI 1629134804
Revive Chiropractic's National Provider Identifier is 1629134804, issued on Dec 29, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 1, 2008.