Active NPI
Joseph Paul Gasior, DC
- Sports Physician Chiropractor
- Chicago, IL
National Provider Identifier
1619540739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 038.013739
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013739 | IL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Conservative Care, Inc. | Current | Accepting new patients | |
| JPG Chiropractic & Tennis Performance LLC | Current | Accepting new patients | |
| Elite Healthcare | Past | 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.
-
- Chiropractor
- Chicago, IL
- NPI 1407743560
-
- Chiropractor
- Chicago, IL
- NPI 1417190539
-
- Chiropractor
- Chicago, IL
- NPI 1417106634
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.