Provider Demographics
NPI:1720706369
Name:WINEBRENNER, CAIN (DC)
Entity Type:Individual
Prefix:DR
First Name:CAIN
Middle Name:
Last Name:WINEBRENNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 W WRIGHTWOOD AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-7403
Mailing Address - Country:US
Mailing Address - Phone:816-309-2807
Mailing Address - Fax:
Practice Address - Street 1:334 N DES PLAINES ST
Practice Address - Street 2:UNIT 408D
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661
Practice Address - Country:US
Practice Address - Phone:312-815-2290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038013875111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor