| Rusty Lavender, | |
|
4310 S Ridgeway Rd, Ringwood, IL 60072-9610 | |
| (815) 219-8033 | |
| Not Available |
| Full Name | Rusty Lavender |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 4310 S Ridgeway Rd, Ringwood, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487311874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH13802 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rusty Lavender, 4310 S Ridgeway Rd, Ringwood, IL 60072-9610 Ph: (815) 219-8033 | Rusty Lavender, 4310 S Ridgeway Rd, Ringwood, IL 60072-9610 Ph: (815) 219-8033 |
Evergreen Health Clinic, Ltd Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5511 N Ridgeway Rd, Ringwood, IL 60072 Phone: 815-728-1074 | |
Dr. Susan R. Carpenter, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5511 N Ridgeway Rd, Ringwood, IL 60072 Phone: 815-728-1074 Fax: 815-653-0131 |