Advanced Spinal Clinic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009263 Issued in IL

Legal business name

ADVANCED SPINAL CLINIC P.C.

Practice address

5356 W Addison St
Chicago, IL 60641-3356

Phone

(773) 283-4700

Fax

(773) 283-4848

NPI assigned

May 21, 2007

Last updated

Jun 11, 2008By 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. Patricia Marie WascoNPI 1629081930

Title

President

Phone

(773) 283-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Patricia Marie Wasco, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1629081930
  Medicare reassignment NPD Authorized official
• Gregg S Horigan, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1497913792
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1962611772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5356 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413356",
            "telephone_number": "773-283-4700",
            "fax_number": "773-283-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413356",
            "telephone_number": "773-283-4700",
            "fax_number": "773-283-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINAL CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "WASCO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-283-4700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1627562",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Psychology Services, LLC
• Advanced Rehab Specialists Inc
• Advanced Rehabilitation Care, LLC
• Advanced Rehabilitation Services PC
• Advanced Skin and Mohs Surgery Center S.C.
• Advanced Spinal Orthotics
• Advanced Spine and Pain Specialists, S.C.
• Advanced Therapeutic Motion, P.C. (Atm)
• Advanced Wellness Institute
• Advanced Women's Health of Chicago, SC

• 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 Jun 11, 2008; 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.