Ronald K Wassenar

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RONALD K WASSENAR

Practice address

10526 W Cermak Rd
Suite 104
Westchester, IL 60154-5249

Phone

(708) 562-9200

Fax

(708) 562-9207

NPI assigned

Mar 31, 2006

Last updated

Oct 15, 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. Ronald K Wassenar, D.C.NPI 1891974341

Title

Owner

Phone

(708) 562-9200

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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.

• Ronald K Wassenar, D.C.

  • Chiropractor
  • Westchester, IL
  • NPI 1891974341
  NPD (past) Authorized official

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1245291939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10526 W CERMAK RD",
            "address_2": "SUITE 104",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545249",
            "telephone_number": "708-562-9200",
            "fax_number": "708-562-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10526 W CERMAK RD",
            "address_2": "SUITE 104",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545249",
            "telephone_number": "708-562-9200",
            "fax_number": "708-562-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD K WASSENAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "WASSENAR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-562-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "769657",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "113554250227",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5044243",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1682731",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.