1. Home
  2. Directory
  3. NPI Profile

RUSTY LAVENDER
NPI 1487311874
Chiropractor in Ringwood, IL

Active since November 21, 2021
4310 S RIDGEWAY RD, RINGWOOD, IL 60072(815) 219-8033 Get Directions Write a Review

NPPES record last updated: November 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rusty Lavender NPPES

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

RUSTY LAVENDER (NPI 1487311874) is an individual chiropractor in Ringwood, Illinois, licensed in Florida (CH13802) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1487311874
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRUSTY LAVENDER
Location Address4310 S RIDGEWAY RDRingwood, IL 60072-9610
Mailing Address4310 S Ridgeway RdRingwood, IL 60072-9610 · (815) 219-8033
Phone(815) 219-8033
Sole ProprietorYes
Enumeration DateNovember 21, 2021
NPPES CertifiedNovember 21, 2021
✔ NPI 1487311874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH13802
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.
4310 S RIDGEWAY RD, Ringwood, IL 60072
Open in Google Maps ↗

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 Rusty Lavender's NPI number?

The NPI number for Rusty Lavender is 1487311874. It was assigned to this individual provider in the NPPES registry on November 21, 2021.

Where is Rusty Lavender located?

Rusty Lavender practices at 4310 S Ridgeway Rd, Ringwood, IL 60072. The listed phone number is (815) 219-8033.

What is Rusty Lavender'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 Rusty Lavender was last updated on November 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.