Andrea Leigh Shavitz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010650 Issued in IL

Practice address

3259 N Ashland Ave
Chicago, IL 60657-2129

Phone

(773) 348-6908

Fax

(773) 348-6910

NPI assigned

May 4, 2006

Last updated

Oct 12, 2016By 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

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Wellness Revolution Lakeview LLCGroup PAC ID 4486990967, 4 clinicians

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.

• Wellness Revolution Lakeview LLC

  dba The Wellness Revolution Chiropractic and Acupuncture Center

  • Chiropractor
  • Chicago, IL
  • NPI 1063920916
  Medicare reassignment Care Compare group NPD
• CLCW Corp

  • Chiropractor
  • Mount Prospect, IL
  • NPI 1508140674
  NPD (past)
• Soo O Park

  dba Park Chiropractic Clinic

  • Chiropractor
  • Mount Prospect, IL
  • NPI 1851588313
  NPD (past)
• Wrigleyville Chiropractic and Massage LTD.

  • Chiropractor
  • Chicago, IL
  • NPI 1962538793
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1942258785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572129",
            "telephone_number": "773-348-6908",
            "fax_number": "773-348-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572129",
            "telephone_number": "773-348-6908",
            "fax_number": "773-348-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVITZ",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack F. Shauger, LCSW
• Colleen Shaughnessy, N.P.
• Robert James Shaughnessy, CRNA
• Mary Shaver
• Zachary McDonald Shaver
• Shaw Community Integration Services (SCIS Agency)
• Toria Shaw Morawski, LSW
• Alexander Shaw, DO
• Alison Shaw, APN
• Barbara Shaw, APN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.