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Revive Chiropractic
Chiropractor in Chicago, Illinois
NPI 1629134804

Revive Chiropractic is a Chiropractor based in Chicago, IL. Revive Chiropractic practices in Chicago, IL. The NPI Number for Revive Chiropractic is 1629134804 and holds a License No. 038-009590 (Illinois).

The current practice location address for Revive Chiropractic is 6615 W Irving Park Rd, Chicago, IL and can be reached out via phone at 772-282-4300.

Location: 6615 W Irving Park Rd, Chicago, IL, 60634-2410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629134804
Provider Name
Revive Chiropractic
Credential
Provider Entity Type
Organization
Address
6615 W Irving Park Rd, Chicago, IL, 60634-2410
Phone Number
772-282-4300
Fax Number
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1633769 01 IL BCBS OF IL
institution
Provider Business Practice Location Address Details
Address
6615 W Irving Park Rd
City
Chicago
State
Illinois
Zip
60634-2410
Phone Number
772-282-4300
Fax Number
person
Provider Business Mailing Address Details
Address
6615 W Irving Park Rd
City
Chicago
State
Illinois
Zip
60634-2410
Phone Number
772-282-4300
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-009590 (Indiana)
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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