Provider Demographics
NPI:1841017670
Name:RESTORE MANUAL MEDICINE, LLC
Entity type:Organization
Organization Name:RESTORE MANUAL MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NAPRAPATH
Authorized Official - Prefix:DR
Authorized Official - First Name:KIERAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DN
Authorized Official - Phone:773-587-0182
Mailing Address - Street 1:1525 E 53RD ST STE 810
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-4578
Mailing Address - Country:US
Mailing Address - Phone:773-587-0182
Mailing Address - Fax:
Practice Address - Street 1:1525 E 53RD ST STE 810
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-4578
Practice Address - Country:US
Practice Address - Phone:773-587-0182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172P00000XOther Service ProvidersNaprapathGroup - Single Specialty