Jason W Ingham Dc Sc in Chicago - Sports Physician
Jason W Ingham Dc Sc - NPI 1992982664
Jason W Ingham Dc Sc is a Sports Physician in Chicago, Illinois. Jason W Ingham Dc Sc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jason W Ingham Dc Sc is 1992982664. The last update date is 2023-09-11.
Jason W Ingham Dc Sc's current location address is 2828 N Clark St, Chicago, Illinois. You can contact this provider via phone number 7738680347 and fax number 7738680401. The mailing address for Jason W Ingham Dc Sc is 2828 N Clark St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jason W Ingham Dc Sc |
|---|---|
| Address | 2828 N Clark St, Chicago, Illinois |
| Phone Number | 7738680347 |
| Fax Number | 7738680401 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ingham Wayne Jason |
| Credentials | D.C. |
| Telephone Number | 7738680347 |
NPI Number Detail
| NPI Number | 1992982664 |
|---|---|
| Provider Enumeration Date | 2008-01-24 |
| Last Updated Date | 2023-09-11 |
Provider Mailing Address Detail
| Address | 2828 N Clark St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606575775 |
| Phone Number | 7738680347 |
| Fax Number | 7738680401 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 38008978 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identification code assigned to Jason W Ingham Dc Sc by the Centers for Medicare & Medicaid Services?
The Jason W Ingham Dc Sc has been issued the NPI (National Provider Identifier) 1992982664, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jason W Ingham Dc Sc is located?
The Jason W Ingham Dc Sc is situated at the following address: 2828 N Clark St, Chicago, IL, 606575775.
What is Jason W Ingham Dc Sc's area of expertise and its corresponding taxonomy classification?
The Jason W Ingham Dc Sc's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.
When was the Jason W Ingham Dc Sc's 1992982664 issued?
The Jason W Ingham Dc Sc's 1992982664 was issued on 2008-01-24.
When was the Jason W Ingham Dc Sc's information last updated?
The Jason W Ingham Dc Sc's information was last updated on 2023-09-11.
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