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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