NPI 1003261769

Renew Chiropractic Health and Wellness LLC

Organisation Chiropractor Chicago, IL

Practice location

Address: 935 N Honore St APT 2r, Chicago, IL 60622-4979
Phone: (563) 580-5171

Authorised official

Name: Juan Marin
Title: Owner
Phone: (563) 580-5171

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 038012440 (IL)

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Registry record

NPI: 1003261769
Entity type: Organization
NPI issued: 2 May 2016
Record last updated: 2 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.