Individual provider Active NPI

Samantha Szyska, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1528508629
Registry record updated Mar 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013057 Issued in IL
Practice address
7001 W Higgins Ave
Ste 2a
Chicago, IL 60656-1949
Phone
(773) 413-0435
Fax
(312) 312-9620
NPI assigned
Mar 8, 2017
Last updated
Mar 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013057 IL Primary

Addresses

Primary practice location

7001 W Higgins Ave
Ste 2a
Chicago, IL 60656-1949

Mailing address

7001 W Higgins Ave
Ste 2a
Chicago, IL 60656-1949
Phone (773) 414-0435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407000495 IL Practitioner - Chiropractic 8224445325 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013057ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Wellness Center LTD Chiropractor CurrentSince Mar 3, 2021 Accepting new patients

Locations

7001 W Higgins Ave
Ste 2
Chicago, IL 60656

7001 W Higgins Ave
Ste 2A
Chicago, IL 60656
Phone (773) 413-0435

Organizations & group practices 1

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": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1528508629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 W HIGGINS AVE",
            "address_2": "STE 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561949",
            "telephone_number": "773-414-0435",
            "fax_number": "312-312-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 W HIGGINS AVE",
            "address_2": "STE 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561949",
            "telephone_number": "773-413-0435",
            "fax_number": "312-312-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYSKA",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 14, 2021; 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.