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RAVENSWOOD HEALTH CENTER, P.C.
NPI 1114116522
Chiropractor in Chicago, IL

Active since October 22, 2007
4256 N. RAVENSWOOD AVE., SUITE NUMBER 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: July 26, 2026.

About Ravenswood Health Center, P.c. NPPES

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

RAVENSWOOD HEALTH CENTER, P.C. (NPI 1114116522) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since October 2007. The organization lists Jason G. Fennema, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1114116522
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRAVENSWOOD HEALTH CENTER, P.C.
Location Address4256 N. RAVENSWOOD AVE., SUITE NUMBER 101Chicago, IL 60613
Mailing Address4256 N. Ravenswood Ave,, Suite Number 101Chicago, IL 60613 · (773) 327-2225 · Fax (773) 327-7554
Phone(773) 327-2225
Fax(773) 327-7554
Organization SubpartNo
Authorized OfficialJason G. FennemaOwner/president · (773) 327-2225
Enumeration DateOctober 22, 2007
Last NPPES UpdateDecember 30, 2014
✔ NPI 1114116522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-008864
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedPhysical TherapistTaxonomy 225100000X · License 070009516 (IL)
4256 N. RAVENSWOOD AVE., Chicago, IL 60613
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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

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 Center, P.C.'s NPI number?

The NPI number for Ravenswood Health Center, P.C. is 1114116522. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Ravenswood Health Center, P.C. located?

Ravenswood Health Center, P.C. is located at 4256 N. Ravenswood Ave. Suite Number 101, Chicago, IL 60613. The listed phone number is (773) 327-2225.

What is Ravenswood Health Center, P.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Ravenswood Health Center, P.C. was last updated on December 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.