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Organization
RAVENSWOOD HEALTH AND WELLNESS CENTER, S.C.
Active
Organization
RAVENSWOOD HEALTH AND WELLNESS CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON GRIFFITH FENNEMA D.C. (PRESIDENT)
(773) 456-5313
Entity
Organization
Contact information
Practice address
4256 N RAVENSWOOD AVE, UNIT 101, CHICAGO, IL 60613-1110
(773) 327-2225
(773) 327-7554
Mailing address
4256 N RAVENSWOOD AVE, UNIT 101, CHICAGO, IL 60613-1110
(773) 327-2225
(773) 327-7554
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1386657690
IL
Other
Enumeration date
05/19/2014
Last updated
12/30/2014
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