person
Dustin Gayle Tavenner, DC
Chiropractor in Chicago, Illinois
NPI 1912140385

Dustin Gayle Tavenner is a Chiropractor based in Chicago, IL. Dustin Gayle Tavenner practices in Chicago, IL and has the professional credentials of DC. The NPI Number for Dustin Gayle Tavenner is 1912140385 and holds a License No. 038011196 (Illinois).

The current practice location address for Dustin Gayle Tavenner is 213 N Stetson Ave, Chicago, IL and can be reached out via phone at 312-552-3000 and via fax at 312-552-3001.

Location: 213 N Stetson Ave, Chicago, IL, 60601-7803
person
Provider Profile Details
NPI Number
1912140385
Provider Name
Dustin Gayle Tavenner
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
213 N Stetson Ave, Chicago, IL, 60601-7803
Phone Number
312-552-3000
Fax Number
312-552-3001
Provider Enumeration Date
04/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
213 N Stetson Ave
City
State
Zip
60601-7803
Phone Number
312-552-3000
Fax Number
312-552-3001
person
Provider Business Mailing Address Details
Address
213 N Stetson Ave
City
State
Zip
60601-7803
Phone Number
312-552-3000
Fax Number
312-552-3001
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
038011196 (Illinois)
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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