Provider Demographics
NPI:1083404412
Name:RACHEL VITTARDI LLC
Entity type:Organization
Organization Name:RACHEL VITTARDI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VITTARDI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-537-7679
Mailing Address - Street 1:520 W HURON ST APT 515
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-3439
Mailing Address - Country:US
Mailing Address - Phone:440-537-7679
Mailing Address - Fax:
Practice Address - Street 1:954 W WASHINGTON BLVD STE 440
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-2224
Practice Address - Country:US
Practice Address - Phone:440-537-7679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty