Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revital Chiropractic & Wellness PLLC

Organization Chiropractor · NPI 1962112193

Revital Chiropractic & Wellness PLLC is a Chiropractor in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

915 W Huron St Ste C104
Chicago, IL 60642-4235
Phone: (312) 667-3663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1962112193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erianne Adams — Owner · (316) 558-0522
NPI enumeratedNovember 29, 2022
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address915 W Huron St Ste C104, Chicago, IL 60642-4235

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