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

Revive Chiropractic

Organization Chiropractor · NPI 1629134804

Revive Chiropractic is a Chiropractor in Chicago, Illinois. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006

Practice location Address checks out

6615 W Irving Park Rd Ste #301
Chicago, IL 60634-2410
Phone: (772) 282-4300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038-009590 (IN)

Record details

NPI number1629134804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Witold Gozdalski — Owner · (773) 282-4300
NPI enumeratedDecember 29, 2006
Last updated in NPPESAugust 1, 2008
Mailing address6615 W Irving Park Rd, Ste. #301, Chicago, IL 60634-2410

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