RAVENSWOOD HEALTH AND WELLNESS CENTER, S.C.
NPI 1093126435
Chiropractor - Rehabilitation in Chicago, IL

Q: What is Ravenswood Health And Wellness Center, S.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Active since May 19, 2014

4256 N RAVENSWOOD AVE, UNIT 101, CHICAGO, IL 60613(773) 327-2225(773) 327-7554 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ravenswood Health And Wellness Center, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVENSWOOD HEALTH AND WELLNESS CENTER, S.C. (NPI 1093126435) is a healthcare organization registered as a rehabilitation in Chicago, Illinois and active in the NPI registry since May 2014. The organization lists Jason Griffith Fennema, President, as its authorized official.

NPPES Registry Identity

NPI1093126435

Entity TypeOrganization

Primary Taxonomy111NR0400X

Legal Business NameRAVENSWOOD HEALTH AND WELLNESS CENTER, S.C.

Location Address4256 N RAVENSWOOD AVE, UNIT 101Chicago, IL 60613-1110

Mailing Address4256 N Ravenswood Ave, Unit 101Chicago, IL 60613-1110 · (773) 327-2225 · Fax (773) 327-7554

Phone(773) 327-2225

Fax(773) 327-7554

Organization SubpartNo

Authorized OfficialJason Griffith FennemaPresident · (773) 456-5313

Enumeration DateMay 19, 2014

Last NPPES UpdateDecember 30, 2014

✔ NPI 1093126435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers

Taxonomy Code111NR0400X

License✔ Licensed in IL · 1386657690

Definition

Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

4256 N RAVENSWOOD AVE, Chicago, IL 60613

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ravenswood Health And Wellness Center, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ravenswood Health And Wellness Center, S.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Tatiana Jaramillo, FNP-BC

Nurse Practitioner

NPI 1306237870

4256 N RAVENSWOOD AVE
Chicago, IL 60613

(773) 904-2588

✔ PECOS✔ Accepts Medicare0.1 mi

Jason Fennema, D.C.

Chiropractic

NPI 1386657690

1806 W CUYLER AVE
Chicago, IL 60613

(773) 327-2225

✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ravenswood Health And Wellness Center, S.C.'s NPI number?

The NPI number for Ravenswood Health And Wellness Center, S.C. is 1093126435. It was assigned to this organization in the NPPES registry on May 19, 2014.

Where is Ravenswood Health And Wellness Center, S.C. located?

Ravenswood Health And Wellness Center, S.C. is located at 4256 N Ravenswood Ave Unit 101, Chicago, IL 60613. The listed phone number is (773) 327-2225.

What is Ravenswood Health And Wellness Center, S.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Ravenswood Health And Wellness Center, S.C. enrolled in Medicare?

Yes. Ravenswood Health And Wellness Center, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ravenswood Health And Wellness Center, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ravenswood Health And Wellness Center, S.C., in Chiropractic and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ravenswood Health And Wellness Center, S.C. was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.