MEDICARE: RACHEL VITTARDI LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1083404412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RACHEL VITTARDI LLC

Provider Business Mailing Address
First Line	:	520 W HURON ST APT 515
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-3439
Country	:	US
Telephone Number	:	440-537-7679
Fax Number	:

Provider Business Practice Location Address
First Line	:	954 W WASHINGTON BLVD STE 440
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2224
Country	:	US
Telephone Number	:	440-537-7679
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. RACHEL VITTARDI
Credential	:	DC
Telephone Number	:	440-537-7679

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	05/08/2025

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