| Wicker Park Spine And Stability, Llc | |
|
1641-1643 W North Ave, Unit 1, Chicago, IL 60622 | |
| (312) 928-9282 | |
| (312) 588-7211 |
| Full Name | Wicker Park Spine And Stability, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1641-1643 W North Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184370538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Jodi H Kirsch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407154446 PECOS PAC ID: 4981880739 Enrollment ID: I20110512000648 |
| Provider Name | Palak Bipin Modi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164828463 PECOS PAC ID: 4284930231 Enrollment ID: I20160317000249 |
| Provider Name | Margaret Acton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730601717 PECOS PAC ID: 5698049633 Enrollment ID: I20170914002792 |
| Provider Name | Eric R Ghiselli |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467600312 PECOS PAC ID: 3072929645 Enrollment ID: I20210304002817 |
| Provider Name | Daniel Durkin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770091688 PECOS PAC ID: 9436419405 Enrollment ID: I20210915003020 |
| Provider Name | Samantha K Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285248617 PECOS PAC ID: 5496144370 Enrollment ID: I20211115002370 |
| Provider Name | Evan Soutter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376263459 PECOS PAC ID: 1456716760 Enrollment ID: I20230420000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Wicker Park Spine And Stability, Llc 212 N Carpenter St Unit A1a2, Chicago, IL 60607-1713 Ph: (312) 928-9282 | Wicker Park Spine And Stability, Llc 1641-1643 W North Ave, Unit 1, Chicago, IL 60622 Ph: (312) 928-9282 |
Water Tower Place Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 845 N Michigan Ave, 983w, Chicago, IL 60611 Phone: 312-654-5486 Fax: 312-654-2175 | |
The Chicago Body Works, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 3505 N Ashland Ave, Chicago, IL 60657 Phone: 773-248-4229 | |
Dr. Mahmoud S Lotfi, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3139 W 111th St, Chicago, IL 60655 Phone: 312-944-4653 | |
Renew Chiropractic Health And Wellness Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 935 N Honore St Apt 2r, Chicago, IL 60622 Phone: 563-580-5171 | |
Dr. Alexandra Thielen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 212 N Carpenter St # A1a2, Chicago, IL 60607 Phone: 312-928-9282 | |
Dr. Jee Hoon Kim, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2317 W Chicago Ave, 2 Fl., Chicago, IL 60622 Phone: 773-252-9740 Fax: 773-252-9746 | |
Dr. Dylan P Drynan, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1600 S Indiana Ave, Unit B, Chicago, IL 60616 Phone: 312-922-9868 Fax: 312-922-9869 |