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Rusty Lavender
Chiropractor in Ringwood, Illinois
NPI 1487311874

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. You can also correspond with Rusty Lavender through the mailing address at 4310 S RIDGEWAY RD, RINGWOOD, IL - 60072-9610 (mailing address contact number: 815-219-8033).

Location: 4310 S Ridgeway Rd, Ringwood, IL, 60072-9610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
institution
Provider Business Practice Location Address Details
Address
4310 S Ridgeway Rd
City
Ringwood
State
Illinois
Zip
60072-9610
Phone Number
815-219-8033
Fax Number
person
Provider Business Mailing Address Details
Address
4310 S Ridgeway Rd
City
Ringwood
State
Illinois
Zip
60072-9610
Phone Number
815-219-8033
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
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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