Individual provider Active NPI

Joseph Paul Gasior, DC

  • Sports Physician Chiropractor
  • Chicago, IL
National Provider Identifier
1619540739
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
038.013739 Issued in IL
Practice address
1310 W Wrightwood Ave
Chicago, IL 60614-1226
Phone
(847) 714-3561
NPI assigned
Jul 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 038.013739 IL Primary

Addresses

Primary practice location

1310 W Wrightwood Ave
Chicago, IL 60614-1226

Mailing address

1706 W North Ave
Chicago, IL 60622-2125
Phone (773) 697-8088

Other names 1

  • Dr. Joe Gasior Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038.013739ILMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Conservative Care, Inc. CurrentSince Oct 17, 2021 Accepting new patients
JPG Chiropractic & Tennis Performance LLC Current Accepting new patients
Elite Healthcare PastSince May 16, 2009 Accepting new patients

Locations

1706 W North Ave
Chicago, IL 60622
Phone (312) 213-2233

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1619540739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222125",
            "telephone_number": "773-697-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W WRIGHTWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141226",
            "telephone_number": "847-714-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASIOR",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038.013739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "GASIOR",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Oct 11, 2021; 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.