Jason P. Godo, DC, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38010089 Issued in IL

Legal business name

JASON P. GODO, DC, SC

Practice address

3118 N Sheffield Ave
Unit 1S
Chicago, IL 60657-8680

Phone

(773) 525-0007

Fax

(773) 525-0050

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jason P Godo, DCNPI 1821272535

Title

President/Owner

Phone

(773) 525-0007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason P Godo, D.C., R.N.

  • Chiropractor
  • Chicago, IL
  • NPI 1821272535
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1225080872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 N SHEFFIELD AVE",
            "address_2": "UNIT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606578680",
            "telephone_number": "773-525-0007",
            "fax_number": "773-525-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 N SHEFFIELD AVE",
            "address_2": "UNIT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606578680",
            "telephone_number": "773-525-0007",
            "fax_number": "773-525-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON P. GODO, DC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "GODO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "773-525-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jason Hacker PH.D. Therapy and Psychological Services LLC
• Jason M Grinter DDS PC
• Jason Schrotenboer DDS MD PC
• Jason W Ingham DC SC
• Avis C Jason, DPT
• Kyla Jasper
• Mark E Jasper, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.