Rusty Lavender is a Chiropractor based in Ringwood, IL. Rusty Lavender practices in Ringwood, IL. The NPI Number for Rusty Lavender is 1487311874 and holds a License No. CH13802 (Illinois).
The current practice location address for Rusty Lavender is 4310 S Ridgeway Rd, Ringwood, IL and can be reached out via phone at 815-219-8033.
Location: 4310 S Ridgeway Rd, Ringwood, IL, 60072-9610
Provider Profile Details
NPI Number
1487311874
Provider Name
Rusty Lavender
Credential
Provider Entity Type
Individual
Gender
Male
Address
4310 S Ridgeway Rd, Ringwood, IL, 60072-9610
Phone Number
815-219-8033
Fax Number
Provider Enumeration Date
11/21/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
4310 S Ridgeway Rd
City
State
Zip
60072-9610
Phone Number
815-219-8033
Fax Number
Provider Business Mailing Address Details
Address
4310 S Ridgeway Rd
City
State
Zip
60072-9610
Phone Number
815-219-8033
Fax Number
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CH13802 (Florida)
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 interrelationship with other body systems.
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