Individual provider Active NPI

Ashlin Joseph Gasiorowski, D.C.

  • Chiropractor
  • Evanston, IL
National Provider Identifier
1255302840
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010520 Issued in IL
Practice address
1954 Dempster St
Evanston, IL 60202-1016
Phone
(847) 475-4545
Fax
(847) 475-1371
NPI assigned
Jan 31, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010520 IL Primary

Addresses

Primary practice location

1954 Dempster St
Evanston, IL 60202-1016

Mailing address

PO Box 5988
Dept. 20-5042
Carol Stream, IL 60197-5988
Phone (630) 468-1824

Other identifiers 2

IdentifierTypeStateIssuer
1635132OtherILBLUE CROSS ID #
K36007OtherILMEDICARE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070330000207 IL Practitioner - Chiropractic 9638273675 Reassigns benefits to 1 organization
I20201014000191 NE Practitioner - Chiropractic 9638273675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Wellness Source of Omaha, LLCGroup PAC ID 4587083290, 2 clinicians

Practice addresses (Care Compare)

5331 S 204TH Ave
Suite 2
Elkhorn, NE 68022-4385
Phone (531) 867-3720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010520ILMDChiropractor
2061NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Wellness Source of Omaha LLC Chiropractor CurrentSince Sep 8, 2020 Accepting new patients
Universal Wellness Source at Lakeshore East SC Chiropractor CurrentSince Sep 20, 2012 Accepting new patients
Chiro One Wellness Center of Schaumburg East LLC Chiropractor PastSince May 12, 2016 Accepting new patients
Chiro One Wellness Center Metro of Streeterville LLC Chiropractor PastSince Apr 30, 2013 Accepting new patients
Chiro One Wellness Center of Evanston SC Chiropractor PastSince May 6, 2017 Accepting new patients

Locations

333 E Benton Pl
Ste 104
Chicago, IL 60601
Phone (312) 265-0655

5331 S 204th Ave
Ste 2
Elkhorn, NE 68022
Phone (531) 867-3720

Organizations & group practices 5

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1255302840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5988",
            "address_2": "DEPT. 20-5042",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975988",
            "telephone_number": "630-468-1824",
            "fax_number": "630-468-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021016",
            "telephone_number": "847-475-4545",
            "fax_number": "847-475-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASIOROWSKI",
        "first_name": "ASHLIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID #",
            "identifier": "1635132",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "K36007",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.