Samantha Glasco, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012820 Issued in IL

Practice address

317 Marketplace Dr
Freeburg, IL 62243-4075

Phone

(618) 710-5004

NPI assigned

Jun 15, 2015

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Complete Family Chiropractic & Wellness LLC

  • Chiropractor
  • Freeburg, IL
  • NPI 1023524097
  Medicare reassignment NPD Authorized official
• Shiloh Chiropractic, LLC

  • Chiropractor
  • Shiloh, IL
  • NPI 1063595239
  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689055741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LEO DR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081908",
            "telephone_number": "618-443-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MARKETPLACE DR",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622434075",
            "telephone_number": "618-710-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 Thouvenot Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shiloh",
            "state": "IL",
            "postal_code": "622698917",
            "country_code": "US",
            "telephone_number": "618-234-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASCO",
        "first_name": "SAMANTHA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freeburg Care Center Inc
• Freeburg Community Consolidated School Dist. No. 70
• Freeburg Community High School
• Freeburg Nursing and Rehab LLC (La Bella of Freeburg)
• Freeburg Vision Center, Inc.
• Elizabeth Jean Gonzalez, LMT
• Groceries of Southern Illinois LLC (Freeburg pharmacy)
• Groceries of Southern Illinois LLC (freeburg pharmacy)
• Groceries of Southern Illinois, LLC. (Freeburg Country Mart)
• Jamie L Hahne

• Chiropractor in Freeburg, IL
• Providers in Freeburg, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.