Edward Samuel Gurevich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011305 Issued in IL

Practice address

175 W Jackson Blvd Ste 2150
Chicago, IL 60604-2613

Phone

(312) 262-6224

Fax

(312) 262-6227

NPI assigned

Aug 21, 2009

Last updated

Jul 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suvarna Chiropractic IncGroup PAC ID 1355639394, 2 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.

• Suvarna Chiropractic Inc.

  • Chiropractor
  • Chicago, IL
  • NPI 1255889317
  Medicare reassignment Care Compare group
• Chiro One Wellness Center Metro of the Loop II LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1689956088
  Medicare reassignment NPD
• Chiro One Wellness Center of Olympia Fields

  • Chiropractor
  • Olympia Fields, IL
  • NPI 1891844049
  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1942432000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "630-320-6400",
            "fax_number": "630-701-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W JACKSON BLVD STE 2150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042613",
            "telephone_number": "312-262-6224",
            "fax_number": "312-262-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUREVICH",
        "first_name": "EDWARD",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011305",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishal Gupta
• Vivek Gupta, M.D.
• Amy Sarah Guralnick, M.D.
• Izabella Gurau, MD
• Sandeep Gurbuxani
• Andrea Rose Gurga, OTD, OTR/L
• Nastassia Marie Gurganus, MS, FNP-BC, MPH
• Julie Tepke Gurgone, LCPC
• Adrian Gurgul
• Sebastian Gurgul, PHARMD

• 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 Jul 21, 2015; 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.