Organization Active NPI

Life Spring Chiropractic, P.C.

  • Chiropractor
  • Elmhurst, IL
National Provider Identifier
1790938744
Registry record updated Oct 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008719 Issued in IL
Legal business name
LIFE SPRING CHIROPRACTIC, P.C.
Practice address
381 N York St
Ste 23
Elmhurst, IL 60126-2364
Phone
(630) 478-9311
Fax
(331) 642-1219
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2015

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

Authorized official

Name
Dr. Dawn Regina Gaskey, DCNPI 1134120900
Title
President
Phone
(630) 776-6379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-008719 IL Primary

Addresses

Primary practice location

381 N York St
Ste 23
Elmhurst, IL 60126-2364

Mailing address

1420 Colony CT
Lombard, IL 60148-4416
Phone (630) 776-6379

Other identifiers 6

IdentifierTypeStateIssuer
2264221OtherILUHC
0002232247OtherILBCBS OF ILLINOIS
1991192OtherILFIRST HEALTH
4236188OtherILCIGNA
7916367OtherILAETNA
646275OtherILACN

National Provider Directory

National Provider Directory

Locations

381 N York St
Ste 23
Elmhurst, IL 60126
Phone (630) 478-9311

728 S Main St
Lombard, IL 60148
Phone (630) 424-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443916800000",
    "number": "1790938744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 COLONY CT",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484416",
            "telephone_number": "630-776-6379",
            "fax_number": "331-642-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 N YORK ST",
            "address_2": "STE 23",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262364",
            "telephone_number": "630-478-9311",
            "fax_number": "331-642-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SPRING CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2015-10-04",
        "status": "A",
        "authorized_official_last_name": "GASKEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-776-6379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2264221",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "0002232247",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1991192",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4236188",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7916367",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "646275",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; 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.