Active NPI
Ashlin Joseph Gasiorowski, D.C.
- Chiropractor
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-010520
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1635132 | Other | IL | BLUE CROSS ID # |
| K36007 | Other | IL | MEDICARE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NE
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010520 | IL | MD | Chiropractor |
| 2061 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Wellness Source of Omaha LLC | Chiropractor | Current | Accepting new patients |
| Universal Wellness Source at Lakeshore East SC | Chiropractor | Current | Accepting new patients |
| Chiro One Wellness Center of Schaumburg East LLC | Chiropractor | Past | Accepting new patients |
| Chiro One Wellness Center Metro of Streeterville LLC | Chiropractor | Past | Accepting new patients |
| Chiro One Wellness Center of Evanston SC | Chiropractor | Past | 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.
-
- Chiropractor
- Elkhorn, NE
- NPI 1760092969
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dba Universal Health Source
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- Chiropractor
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- NPI 1932140647
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- NPI 1467485458
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.