Individual
MR. IVAN RAYNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
111 N WABASH AVE STE 1414, CHICAGO, IL 60602-3070
(312) 819-4239
Mailing address
111 N WABASH AVE STE 1414, CHICAGO, IL 60602-3070
(312) 819-4239
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013280
IL
225700000X
Massage Therapist
277.016927
IL
Other
Enumeration date
01/05/2016
Last updated
12/20/2018
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