Provider Demographics
NPI:1902914989
Name:RENEGAR, DELILAH ANN (DC)
Entity type:Individual
Prefix:DR
First Name:DELILAH
Middle Name:ANN
Last Name:RENEGAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2102
Mailing Address - Country:US
Mailing Address - Phone:630-561-9696
Mailing Address - Fax:
Practice Address - Street 1:4082 RIVER RDG
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:IL
Practice Address - Zip Code:60548-6905
Practice Address - Country:US
Practice Address - Phone:630-479-9355
Practice Address - Fax:815-786-7477
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-006687111NN1001X, 111NI0900X
IL038006687111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
No111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK25255Medicare ID - Type Unspecified
ILU19760Medicare UPIN