Ravenswood Health and Wellness Center, S.C.
NPI 1093126435ActiveOrganization· Chiropractor, Rehabilitation· Chicago, IL
Chiropractor, Rehabilitation in Chicago, Illinois, registered in NPPES in May 2014. The authorized official on file is Jason Griffith Fennema, D.C., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093126435 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2014 |
| Last updated in NPPES | Dec 30, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Rehabilitation Primary | 111NR0400X | 1386657690 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
Other Chiropractor, Rehabilitation providers in Chicago
- 1003055153
- 1063557429
- 1093045114
- 1154508745
- 1184763021
- 1194132340
- 1245522879
- 1306199492
- 1326165135
- 1366252348
- 1427294024
- 1437767753
All 38 Chiropractor, Rehabilitation providers in Chicago · All Chiropractor, Rehabilitation providers in Illinois