Active NPI
Chiropractic Physicians of Wicker Park Co
- Chiropractor
- Chicago, IL
National Provider Identifier
1588052815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012742
- Legal business name
- CHIROPRACTIC PHYSICIANS OF WICKER PARK CO
- Practice address
- 1635 N Ashland Ave
Chicago, IL 60622-1423 - Phone
- (773) 360-8108
- NPI assigned
- Jan 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin Karwowski, DDS
- Title
- Owner/President
- Phone
- (773) 631-6106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012742 | IL | Primary |
Addresses
Primary practice location
1635 N Ashland Ave
Chicago, IL 60622-1423
Mailing address
1635 N Ashland Ave
Chicago, IL 60622-1423
Phone (773) 360-8108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3324 W Diversey Ave
Chicago, IL 60647
Phone (773) 360-8108
1616 Ogden Ave
Lisle, IL 60532
Phone (630) 226-0220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Chicago, IL
- NPI 1801284708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480636800000",
"number": "1588052815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 N ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221423",
"telephone_number": "773-360-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 N ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221423",
"telephone_number": "773-360-8108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC PHYSICIANS OF WICKER PARK CO",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-09",
"last_updated": "2016-12-02",
"status": "A",
"authorized_official_last_name": "KARWOWSKI",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "773-631-6106",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038012742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Chirochicago Chiropractic & Sports Injury Center, LTD.
- Chiron Behavioral Health PLLC
- Chiron Wellness PLLC
- Chiropractic for Life L.L.C.
- Chiropractic Pain Treatment Center
- Chiropractic Resources PC
- Chiropractic Sports Injury Center
- Chirstopher L. Coogan, M.D. Urology, LTD.
- Floarea Chis, M.D.
- Jameca Chisem, M.ED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.