Organization Active NPI

JPG Chiropractic & Tennis Performance LLC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1407743560
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JPG CHIROPRACTIC & TENNIS PERFORMANCE LLC
Practice address
3758 N Damen Ave
Chicago, IL 60618-4935
Phone
(847) 714-3561
NPI assigned
Jun 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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

Authorized official

Name
Joseph GasiorNPI 1619540739
Title
Chiropractic Physician
Phone
(847) 714-3561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3758 N Damen Ave
Chicago, IL 60618-4935

Mailing address

3758 N Damen Ave
Chicago, IL 60618-4935
Phone (847) 714-3561

Other names 1

  • JPGCTP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750464000000",
    "number": "1407743560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184935",
            "telephone_number": "847-714-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3758 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184935",
            "telephone_number": "847-714-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPG CHIROPRACTIC & TENNIS PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "GASIOR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "847-714-3561"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JPGCTP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; 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.