Tanya Freseth, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038.012102 Issued in IL

Practice address

111 N Wabash Ave
Suite 600
Chicago, IL 60602-1903

Phone

(312) 332-0844

Fax

(312) 332-0847

NPI assigned

Feb 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Active Care Chiropractic & Rehabilitation, LTD.

  • Chiropractor
  • Arlington Heights, IL
  • NPI 1053610204
  Medicare reassignment NPD
• Millennium Medical Group, LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1659493849
  NPD (past)
• Thomas Klarquist, PC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1710103148
  NPD (past)

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1154746469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-332-0844",
            "fax_number": "312-332-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESETH",
        "first_name": "TANYA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038.012102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care of Illinois, LLC
• Fresenius Medical Care South Deering, LLC
• Fresenius Medical Care Summit, LLC
• Fresenius Medical Care Surf Road Home Dialysis, LLC
• Fresenius Medical Care West Willow, LLC
• Fresh Start Home Community Development Corporation
• Sydney Fresia, MS, LAT, ATC
• Paul Vincent Fressola, LCSW CADC
• Nicholas Freter, RN
• Giovanni Fretes

• Rehabilitation Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.