Dr. Jason Wayne Ingham
Chiropractor Chiropractic Sports Physician
624 W. Belmont Ave
Chicago
, Illinois 60657
Dr. Jason Wayne Ingham
Chiropractor Chiropractic Sports Physician
624 W. Belmont Ave
Chicago
, Illinois 60657
(773) 868-0401
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About
Features
Specialties
- Chiropractor
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Jason Wayne Ingham
- 624 W. Belmont Ave
- Chicago, IL
- Zip : 60657
- Fax : (773) 868-0401
- Phone : (773) 868-0347
Second Address
- Dr. Jason Wayne Ingham
- 624 W. Belmont Ave
- Chicago, IL
- Zip : 60657
- Fax : (773) 868-0401
- Phone : (773) 868-0347
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038008978 | IL |
| N | 111NS0005X | Chiropractic Sports Physician | 038-008978 | IL |
National Provider Identifier
| NPI | 1295835445 |
|---|---|
| Provider Name | Dr. Jason Wayne Ingham |
| First Address | Chicago, IL 60657 |
| Second Address | Chicago, IL 60657 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 23/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01626851 | BLUE CROSS BLUE SHEILD (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.