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General NPI Number Information
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NPI Number | 1902914989
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Entity Type | Individual
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Provider Name | DELILAH ANN RENEGAR D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 4082 RIVER RDG
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City | SANDWICH
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State | IL
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Zip | 60548-6905
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Country | US
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Telephone | 630-479-9355
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Fax | 815-786-7477
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Provider Business Mailing Address
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Address Line | 4555 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60625-2102
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Country | US
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Telephone | 630-561-9696
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 038-006687
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | 038-006687
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | 038006687
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License Number State | IL
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