Wicker Park Chiropractic Health

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

WICKER PARK CHIROPRACTIC HEALTH

Practice address

2300 W North Ave
Chicago, IL 60647-5659

Phone

(773) 276-7300

Fax

(773) 276-7333

NPI assigned

Aug 25, 2006

Last updated

Jul 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Lee Smith, DCNPI 1952500720

Title

Chiropractic Physican

Phone

(773) 276-7300

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Lee Smith, DC

  • Chiropractor
  • Bartlett, IL
  • NPI 1952500720
  NPD (past) Authorized official
• Andrew Smith, D.C.

  • Chiropractor
  • Downers Grove, IL
  • NPI 1598149825
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1194833616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475659",
            "telephone_number": "773-276-7300",
            "fax_number": "773-276-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475659",
            "telephone_number": "773-276-7300",
            "fax_number": "773-276-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKER PARK CHIROPRACTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICAN",
        "authorized_official_telephone_number": "773-276-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Wichman, MA, LCPC
• Alana Wichmann, APN
• David Thomas Wick, MA
• Rachel Wick, MD
• Erin Wickens, MS, RDN
• Wicker Park Dental LLC
• Wicker Park Dental, LTD (Wicker Park Dental Group)
• Wicker Park Eye Center LTD
• Wicker Park Heart Specialists, LLC
• Wicker Park Orthodontia, LTD. (Wicker Park Orthodontics)

• Medical Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.