Individual provider Active NPI

Delilah Ann Renegar, D.C.

  • Internist Chiropractor
  • Sandwich, IL
National Provider Identifier
1902914989
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
038-006687 Issued in IL
Practice address
4082 River RDG
Sandwich, IL 60548-6905
Phone
(630) 479-9355
Fax
(815) 786-7477
NPI assigned
Aug 29, 2006
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 038-006687 IL Primary
Internist Chiropractor 111NI0900X 038006687 IL
Nutrition Chiropractor 111NN1001X 038-006687 IL

Addresses

Primary practice location

4082 River RDG
Sandwich, IL 60548-6905

Mailing address

4555 N Lincoln Ave
Chicago, IL 60625-2102
Phone (630) 561-9696

Other practice location 1

640 N River Rd Ste 114
Naperville, IL 60563
Phone (630) 479-9355

Other practice location 2

4082 River Rdg
Sandwich, IL 60548-6905
Phone (630) 479-9355

Other practice location 3

202 E Galena Blvd
Big Rock, IL 60511-0173
Phone (630) 479-9355

Other practice location 4

202 E Galena Blvd
Big Rock, IL 60511-0173
Phone (630) 479-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-006687ILMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nourishing Medicine,LLC Internist CurrentSince Oct 18, 2004 Accepting new patients
Bartlett Chiropractic Dba Doctors' Center for Integrative Wellness Internist Past Accepting new patients
Arlington Chiropractic Clinic, P.C. Nutrition Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1902914989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252102",
            "telephone_number": "630-561-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4082 RIVER RDG",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605486905",
            "telephone_number": "630-479-9355",
            "fax_number": "815-786-7477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 N River Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "60563",
            "country_code": "US",
            "telephone_number": "630-479-9355",
            "fax_number": "630-566-1633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4082 River Rdg",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "IL",
            "postal_code": "605486905",
            "country_code": "US",
            "telephone_number": "630-479-9355",
            "fax_number": "815-786-7477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 E Galena Blvd",
            "address_purpose": "LOCATION",
            "city": "Big Rock",
            "state": "IL",
            "postal_code": "605110173",
            "country_code": "US",
            "telephone_number": "630-479-9355",
            "fax_number": "630-566-1633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 E Galena Blvd",
            "address_purpose": "LOCATION",
            "city": "Big Rock",
            "state": "IL",
            "postal_code": "605110173",
            "country_code": "US",
            "telephone_number": "630-479-9355",
            "fax_number": "630-566-1633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENEGAR",
        "first_name": "DELILAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038-006687",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038006687",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038-006687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.