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Organization
REVITAL CHIROPRACTIC & WELLNESS PLLC
Active
Organization
REVITAL CHIROPRACTIC & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINCI HERLL DC (OWNER)
(312) 667-3663
Entity
Organization
Contact information
Practice address
915 W HURON ST STE C104, CHICAGO, IL 60642-4235
(312) 667-3663
Mailing address
915 W HURON ST STE C104, CHICAGO, IL 60642-4235
(312) 667-3663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
09/18/2026
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