Universal Wellness Source at Lakeshore East SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

UNIVERSAL WELLNESS SOURCE AT LAKESHORE EAST SC

Doing business as

Universal Health Source

Practice address

333 E Benton PL
104
Chicago, IL 60601-7412

Phone

(402) 578-5133

NPI assigned

Mar 8, 2012

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kaylynne M Gasiorowski, D.C.NPI 1558457747

Title

President/Owner/Chiropractic Doctor

Phone

(402) 578-5133

Specialties & licenses 1

Addresses

Other names 1

• Universal Health Source Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Czahor, D.C.

  • Chiropractor
  • Park Ridge, IL
  • NPI 1841731635
  Medicare reassignment NPD
• Ashlin Joseph Gasiorowski, D.C.

  • Chiropractor
  • Evanston, IL
  • NPI 1255302840
  Medicare reassignment NPD
• Kaylynne M Gasiorowski, DC

  • Chiropractor
  • Elkhorn, NE
  • NPI 1558457747
  Authorized official Same address or phone
• Dawn Brereton, DC

  • Chiropractor
  • Overland Park, KS
  • NPI 1902941842
  NPD

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1942574959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 S 208TH CIR",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223138",
            "telephone_number": "402-578-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E BENTON PL",
            "address_2": "104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017412",
            "telephone_number": "402-578-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL WELLNESS SOURCE AT LAKESHORE EAST SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2025-09-02",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "GASIOROWSKI",
        "authorized_official_first_name": "KAYLYNNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/CHIROPRACTIC DOCTOR",
        "authorized_official_telephone_number": "402-578-5133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Health Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Universal Medical Care
• Universal Medical Group LTD.
• Universal Portable X-Ray Service, Inc.
• Universal Portable X-Ray Service, Inc.
• Universal Radiology LTD
• Universall Healing
• Universidad Popular
• University Anesthesiologists SC
• University Anesthesiologists SC
• University Associates in Dentistry, LTD.

• 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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.