OrganizationActive
Revive Chiropractic
NPI 1629134804 · Chiropractor · Chicago, IL
Provider details
- NPI number
- 1629134804
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Witold Gozdalski, Owner(773) 282-4300
- License
- 038-009590 (IN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6615 W Irving Park Rd
Ste. #301
Chicago, IL 60634-2410
Phone: (772) 282-4300
Street-level locationGet directions
Mailing address
6615 W Irving Park Rd
Chicago, IL 60634-2410
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2008-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.