Active NPI
Jason W Ingham DC SC
Doing business as Advanced Spine & Sports Care
- Sports Physician Chiropractor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 038008978
- Legal business name
- JASON W INGHAM DC SC
- Doing business as
- Advanced Spine & Sports Care
- Practice address
- 2828 N Clark St
Chicago, IL 60657-5775 - Phone
- (773) 868-0347
- Fax
- (773) 868-0401
- NPI assigned
- Jan 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Wayne Ingham, D.C.
- Title
- President
- Phone
- (773) 868-0347
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 038008978 | IL | Primary |
Addresses
Primary practice location
2828 N Clark St
Chicago, IL 60657-5775
Mailing address
2828 N Clark St
Chicago, IL 60657-5775
Phone (773) 868-0347
Other names 1
- Advanced Spine & Sports Care
National Provider Directory
National Provider DirectoryLocations
2828 N Clark St
Chicago, IL 60657
Phone (773) 525-1377
1455 W Webster Ave
Lowr
Chicago, IL 60614
Phone (773) 755-2225
624 W Belmont Ave
Chicago, IL 60657
Phone (773) 769-2225
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Chicago, IL
- NPI 1821632423
-
- Chiropractor
- Chicago, IL
- NPI 1932894201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1992982664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575775",
"telephone_number": "773-868-0347",
"fax_number": "773-868-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575775",
"telephone_number": "773-868-0347",
"fax_number": "773-868-0401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON W INGHAM DC SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "INGHAM",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-868-0347",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "038008978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Spine & Sports Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Spine & Sports Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.