Chicago Spine and Sports, P.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

038009427 Issued in IL

Legal business name

CHICAGO SPINE AND SPORTS, P.C.

Practice address

922 W Diversey Pkwy
Chicago, IL 60614-1416

Phone

(773) 529-0057

Fax

(773) 529-0231

NPI assigned

Oct 29, 2010

Last updated

Mar 18, 2024By 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. Douglas Krebs, DC, FACO, CSCSNPI 1558487728

Title

Doctor

Phone

(773) 529-0057

Specialties & licenses 1

Addresses

Other names 1

• Advantage Health & Wellness, P.C. Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 8

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.

• Douglas Ryan Krebs, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1558487728
  Medicare reassignment Care Compare group NPD Authorized official
• Douglas Krefman, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1609243310
  Medicare reassignment Care Compare group NPD
• Thomas Leonard Donahue III, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1780692988
  NPD
• William Alexander Givens II, LMT

  • Massage Therapist
  • Chicago, IL
  • NPI 1124758321
  NPD
• Tristyn John Hasmer

  • Chiropractor
  • Chicago, IL
  • NPI 1487415386
  NPD
• Lauren N Goode, LMT

  • Massage Therapist
  • Chicago, IL
  • NPI 1174910400
  NPD (past)
• Elijah Jankowski, LMT

  • Massage Therapist
  • Chicago, IL
  • NPI 1689384927
  NPD (past)
• Tiffany Lauren White, RD, LDN

  • Registered Dietitian
  • Chicago, IL
  • NPI 1255899365
  NPD (past)

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1538469184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 W DIVERSEY PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141416",
            "telephone_number": "773-529-0057",
            "fax_number": "773-529-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 W DIVERSEY PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141416",
            "telephone_number": "773-529-0057",
            "fax_number": "773-529-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO SPINE AND SPORTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "KREBS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "773-529-0057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FACO, CSCS"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038009427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Health & Wellness, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Chicago Speech and Reading Center LTD
• Chicago Speech Spot
• Chicago Speech Therapy
• Chicago Speech Therapy, PC (CST Academy)
• Chicago Spinal Care LLC
• Chicago Sports and Chiropractic Medicine, SC
• Chicago Sports and Spine, LLC
• Chicago Sports Clinic, Inc
• Chicago Sports Medicine Institute
• Chicago Sports Medicine LLC

• Orthopedic Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopedic Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.