DUSTIN GAYLE TAVENNER D.C.
NPI 1912140385
Chiropractor in Chicago, IL

Active since April 14, 2009
213 N STETSON AVE, CHICAGO, IL 60601(312) 552-3000(312) 552-3001 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dustin Gayle Tavenner D.c. NPPES

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

DUSTIN GAYLE TAVENNER D.C. (NPI 1912140385) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038011196) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1912140385
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDUSTIN GAYLE TAVENNERCredential: D.C.
Location Address213 N STETSON AVEChicago, IL 60601-7803
Mailing Address213 N Stetson AveChicago, IL 60601-7803 · (312) 552-3000 · Fax (312) 552-3001
Fax(312) 552-3001
Sole ProprietorNo
Enumeration DateApril 14, 2009
Last NPPES UpdateFebruary 5, 2010
NPI 1912140385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038011196
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.

213 N STETSON AVE, Chicago, IL 60601

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Primary Care)
213 N STETSON AVE
CHICAGO, IL 60601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912140385, enumerated as an "individual" on April 14, 2009.

The provider is located at 213 N STETSON AVE CHICAGO, IL 60601 and the phone number is (312) 552-3000.

Chiropractor with taxonomy code 111N00000X.